Provider Demographics
NPI:1245790039
Name:LISA A. MILANO,M.S.,R.D.,C.D.N.,LLC
Entity Type:Organization
Organization Name:LISA A. MILANO,M.S.,R.D.,C.D.N.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD,CDN
Authorized Official - Phone:914-737-3664
Mailing Address - Street 1:13 ROBBIE RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6741
Mailing Address - Country:US
Mailing Address - Phone:914-734-9749
Mailing Address - Fax:914-930-4359
Practice Address - Street 1:2127 CROMPOND RD STE 201A
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4334
Practice Address - Country:US
Practice Address - Phone:914-737-3664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty