Provider Demographics
NPI:1821166844
Name:MILONE, RICHARD DOMINICK (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DOMINICK
Last Name:MILONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-4120
Mailing Address - Country:US
Mailing Address - Phone:914-967-0220
Mailing Address - Fax:
Practice Address - Street 1:120 FOREST AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-4120
Practice Address - Country:US
Practice Address - Phone:914-967-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1081002084P0800X
NYMD0942662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY529461Medicare ID - Type Unspecified