Provider Demographics
NPI:1740338870
Name:MILAU, VICTORIA DENISE (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:DENISE
Last Name:MILAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:351 E 84TH ST
Mailing Address - Street 2:APT. 31A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4423
Mailing Address - Country:US
Mailing Address - Phone:212-988-6369
Mailing Address - Fax:212-570-0006
Practice Address - Street 1:133 E 73RD ST
Practice Address - Street 2:SUITE 205
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3556
Practice Address - Country:US
Practice Address - Phone:212-988-6369
Practice Address - Fax:212-570-0006
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2133612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02737777Medicaid
91M671Medicare ID - Type Unspecified
NY02737777Medicaid