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NPI Code Detail

MEDICARE: MARLANE MILITANO

MEDICARE:   MARLANE  MILITANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse291010NY

General Provider Information

NPI Number : 1275377954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLANE MILITANO
Provider Business Mailing Address
First Line : 6 PHYLLIS DR
Second Line :
City : MASTIC BEACH
State : NY
Zip : 11951-4906
Country : US
Telephone Number : 631-603-6406
Fax Number :
Provider Business Practice Location Address
First Line : 6 PHYLLIS DR
Second Line :
City : MASTIC BEACH
State : NY
Zip : 11951-4906
Country : US
Telephone Number : 631-603-6406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/19/2024

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Directions to “ MARLANE MILITANO ” Practice Location

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