Provider Demographics
NPI:1376699595
Name:ALBOLOTE-MILEWCZIK, ANNAMARIE ELIZABETH (PT, MS)
Entity Type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:ELIZABETH
Last Name:ALBOLOTE-MILEWCZIK
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:215 CONNETQUOT DR
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1948
Mailing Address - Country:US
Mailing Address - Phone:631-567-6558
Mailing Address - Fax:631-567-1088
Practice Address - Street 1:215 CONNETQUOT DR
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1948
Practice Address - Country:US
Practice Address - Phone:631-567-6558
Practice Address - Fax:631-567-1088
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17,817-12251P0200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic