Provider Demographics
NPI:1700933850
Name:MILANO, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MILANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:6500 JERICHO TPKE STE 23A
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2909
Practice Address - Country:US
Practice Address - Phone:631-858-2273
Practice Address - Fax:631-858-2276
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY196316207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01770658Medicaid
NYG55618Medicare UPIN
NY00V291Medicare ID - Type Unspecified