Individual
LORRAINE M MILAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
141 NARROW LN, SOUTHAMPTON, NY 11968-3050
(631) 591-4614
Mailing address
165 FERRY RD, SAG HARBOR, NY 11963-1246
(631) 899-3297
(631) 725-2313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000452-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
NY
Enumeration date
09/17/2006
Last updated
07/08/2007
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