Individual
MISS MILENA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5141 BROADWAY, 3 FIELD EAST ROOM 167, NEW YORK, NY 10034
(212) 932-4080
Mailing address
800 PARK AVE APT 3504, FORT LEE, NJ 07024-3782
(201) 406-9575
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG3210056
NJ
Other
Enumeration date
05/05/2021
Last updated
12/01/2022
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