Provider Demographics
NPI:1609214915
Name:MILANKO, MILENA (PTA)
Entity Type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:MILANKO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CLAY RD
Mailing Address - Street 2:APT 30
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3831
Mailing Address - Country:US
Mailing Address - Phone:585-503-3855
Mailing Address - Fax:
Practice Address - Street 1:400 CLAY RD
Practice Address - Street 2:APT 30
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3831
Practice Address - Country:US
Practice Address - Phone:585-503-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007558225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant