Individual
LISA GARGIULO MILAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BRENTON PL, STATEN ISLAND, NY 10314-2502
(917) 968-6343
Mailing address
30 BRENTON PL, STATEN ISLAND, NY 10314-2502
(917) 968-6343
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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