Provider Demographics
NPI:1407162456
Name:PASQUALETTO MILANO, MICHELE (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:PASQUALETTO MILANO
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1502
Mailing Address - Country:US
Mailing Address - Phone:201-220-9493
Mailing Address - Fax:866-543-7099
Practice Address - Street 1:89 5TH AVE STE 803
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3020
Practice Address - Country:US
Practice Address - Phone:212-989-4263
Practice Address - Fax:866-543-7099
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010476-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand