Individual
AUDREY MILILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3761
(516) 442-1116
Mailing address
34 WATERFORD RD, ISLAND PARK, NY 11558-1046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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