Provider Demographics
NPI:1982837381
Name:MILEWSKI, JILLIAN DEE (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:DEE
Last Name:MILEWSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MAPLE AVE
Mailing Address - Street 2:APARTMENT 205
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4286
Mailing Address - Country:US
Mailing Address - Phone:631-355-3267
Mailing Address - Fax:516-665-8171
Practice Address - Street 1:77 MAPLE AVE
Practice Address - Street 2:APARTMENT 205
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4286
Practice Address - Country:US
Practice Address - Phone:631-355-3267
Practice Address - Fax:516-665-8171
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026648-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics