Individual
CARISSA MILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCPRSS
Contact information
Practice address
150 BRICK BLVD, BRICK, NJ 08723-7182
(732) 458-2180
Mailing address
150 BRICK BLVD, BRICK, NJ 08723-7182
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
P00575
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00575
NCPRSS
—
Enumeration date
09/07/2022
Last updated
09/07/2022
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