Provider Demographics
NPI:1689194052
Name:MILKAS, SHELBI ANN (MS ED CF-SLP)
Entity Type:Individual
Prefix:
First Name:SHELBI
Middle Name:ANN
Last Name:MILKAS
Suffix:
Gender:F
Credentials:MS ED CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DRIFTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-1816
Mailing Address - Country:US
Mailing Address - Phone:716-946-6330
Mailing Address - Fax:
Practice Address - Street 1:6490 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-6560
Practice Address - Country:US
Practice Address - Phone:877-246-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY39Medicaid