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Organization
MILLAN PHYSICAL THERAPY REHABILITATION, P.C.
Active
Organization
MILLAN PHYSICAL THERAPY REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ANTHONY MILLAN MS, P.T. (PRESIDENT)
(718) 494-8595
Entity
Organization
Contact information
Practice address
390 MANOR RD, STATEN ISLAND, NY 10314-2957
(718) 494-8595
(718) 494-0191
Mailing address
390 MANOR RD, STATEN ISLAND, NY 10314-2957
(718) 494-8595
(718) 494-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003366-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020964
GHI INS
NY
01
—
0027601
CIGNA, HEALTHNET, AETNA
NY
01
—
17935P
HIP INS
NY
01
—
17952P
HIP INS
NY
01
—
46651
MULTIPLAN INS
NY
01
—
N121364
1199 INS
NY
01
—
OS183
OXFORD INS
NY
01
—
OS184
OXFORD INS
NY
01
—
Q0633Q5JK1
CHARLES MILLAN
NY
01
—
Q5194Q5JK1
ANNE ORLOSKI
NY
Enumeration date
02/08/2007
Last updated
07/07/2015
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