Individual
MRS. KRISTINE MILILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(516) 965-9878
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
F401624-1
NY
Other
Enumeration date
07/18/2013
Last updated
07/31/2013
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