Individual
LINDA ROSE MILDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROUTE 112 BLDG 9, PORT JEFFERSON STATION, NY 11776-3184
(631) 849-6688
Mailing address
12 SENECA CT, PORT JEFFERSON STATION, NY 11776-4485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014966-01
NY
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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