Individual
ANDREW J MILONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13460 STATE ROUTE 12, BOONVILLE, NY 13309-3531
(315) 942-4391
(315) 942-4179
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03856448
—
NY
Enumeration date
08/03/2006
Last updated
06/09/2022
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