Provider Demographics
NPI:1518304757
Name:SCHIFF, MILAGROS
Entity Type:Individual
Prefix:MS
First Name:MILAGROS
Middle Name:
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MILAGROS
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:29 WASHINGTON PLACE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768
Mailing Address - Country:US
Mailing Address - Phone:631-512-0333
Mailing Address - Fax:
Practice Address - Street 1:29 WASHINGTON PL
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2937
Practice Address - Country:US
Practice Address - Phone:631-512-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212684-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse