Provider Demographics
NPI:1205095536
Name:MILLIN, CYNTHIA ANGELA (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANGELA
Last Name:MILLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 BRIDGE STREET
Mailing Address - Street 2:FLOOR 7
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5247
Mailing Address - Country:US
Mailing Address - Phone:412-586-9117
Mailing Address - Fax:
Practice Address - Street 1:397 BRIDGE STREET
Practice Address - Street 2:FLOOR 7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5247
Practice Address - Country:US
Practice Address - Phone:412-586-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT189180390200000X
NYA25612312084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program