Healthcare Provider Details

I. General information

NPI: 1316858731
Provider Name (Legal Business Name): MILENA JOZIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 MILTON TPKE
HIGHLAND NY
12528-2245
US

IV. Provider business mailing address

565 MILTON TPKE
HIGHLAND NY
12528-2245
US

V. Phone/Fax

Practice location:
  • Phone: 845-522-4798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number277757
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: