Provider Demographics
NPI:1093908659
Name:MILANI, SUSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:MILANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 E 12TH ST
Mailing Address - Street 2:4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4000
Mailing Address - Country:US
Mailing Address - Phone:646-263-4281
Mailing Address - Fax:
Practice Address - Street 1:44 E 12TH ST
Practice Address - Street 2:MD4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4632
Practice Address - Country:US
Practice Address - Phone:212-226-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60245482204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM