Provider Demographics
NPI:1821161415
Name:MILANO, JOHN V (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:MILANO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FAWN RUN
Mailing Address - Street 2:
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579-1817
Mailing Address - Country:US
Mailing Address - Phone:914-376-6385
Mailing Address - Fax:914-376-6562
Practice Address - Street 1:475 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4913
Practice Address - Country:US
Practice Address - Phone:914-376-6385
Practice Address - Fax:914-376-6562
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001331363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant