Provider Demographics
NPI:1487649901
Name:MILSHTEYN, YULIYA (CNM)
Entity Type:Individual
Prefix:MRS
First Name:YULIYA
Middle Name:
Last Name:MILSHTEYN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:GROYZBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:713 AVENUE Y
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6126
Mailing Address - Country:US
Mailing Address - Phone:718-648-7141
Mailing Address - Fax:
Practice Address - Street 1:2183 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2303
Practice Address - Country:US
Practice Address - Phone:718-376-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420657363LW0102X
NYF001079-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02521442Medicaid