Individual
JACQUELINE ANNE MILONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
199 WHITNEY AVE, NEW HAVEN, CT 06511-3786
(203) 789-8873
(203) 789-8880
Mailing address
199 WHITNEY AVE, NEW HAVEN, CT 06511-3786
(203) 789-8873
(203) 789-8880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2257
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2257
STATE OF CONNECTICUT
CT
Enumeration date
10/04/2011
Last updated
10/04/2011
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