Individual
MR. CHARLES ANTHONY MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, P.T.
Contact information
Practice address
390 MANOR RD, STATEN ISLAND, NY 10314-2957
(718) 494-8595
(718) 494-0191
Mailing address
390 MANOR RD, STATEN ISLAND, NY 10314-2957
(718) 494-8595
(718) 494-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003366-1
NY
Other
Enumeration date
10/05/2007
Last updated
07/07/2015
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