Individual
ELLYN DAWN MILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 DEER PATH, EAST PATCHOGUE, NY 11772-4615
(631) 553-0267
Mailing address
2 DEER PATH, EAST PATCHOGUE, NY 11772-4615
(631) 553-0267
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
533560
NY
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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