Provider Demographics
NPI:1376514109
Name:MILANO, JENNIFER Y (MA CCCA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:Y
Last Name:MILANO
Suffix:
Gender:F
Credentials:MA CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 CENTRAL AVE
Mailing Address - Street 2:STE 116
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-8507
Mailing Address - Country:US
Mailing Address - Phone:516-239-6400
Mailing Address - Fax:
Practice Address - Street 1:672 NORTH WELLWOOD AVE
Practice Address - Street 2:STE #1
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757
Practice Address - Country:US
Practice Address - Phone:631-956-3277
Practice Address - Fax:631-956-3279
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001610237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
050550321OtherHORIZON
05055032101Other1199
4899794OtherGHI
P2103432OtherOXFORD
050550321OtherMAGNACARE
M72201OtherEMPIRE
050550321OtherPHCS
3C9136OtherHEALTHNET
P00257003OtherMEDICARE RAILROAD
390133OtherCONNECTICARE
D50550321OtherMULTIPLAN
1095677OtherCIGNA
19861POtherHIP
55032ILINOtherUHC
050550321OtherMAGNACARE