Individual
BIANCA LYNN MILLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 SOUTH AVE STE 300, STATEN ISLAND, NY 10314-3410
(718) 226-5700
Mailing address
480 MAIN ST, STATEN ISLAND, NY 10307-1728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351147
NY
Other
Enumeration date
02/17/2023
Last updated
02/19/2025
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