Provider Demographics
NPI:1639460942
Name:MILEWSKI, BECKY LYNN GREY (MS, LCGC)
Entity type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:LYNN GREY
Last Name:MILEWSKI
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:MS
Other - First Name:BECKY
Other - Middle Name:LYNN
Other - Last Name:GREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:120 HAYDEN AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-1745
Mailing Address - Country:US
Mailing Address - Phone:302-354-8438
Mailing Address - Fax:
Practice Address - Street 1:481 EDWARD H ROSS DR
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3118
Practice Address - Country:US
Practice Address - Phone:888-729-1206
Practice Address - Fax:302-623-4845
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000164170300000X
DE0000003170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS