Healthcare Provider Details

I. General information

NPI: 1730532318
Provider Name (Legal Business Name): JANE MILAZZO R.N., M.S., CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BLOOMINGDALE RD PARTIAL HOSPITALIZATION
WHITE PLAINS NY
10605-1504
US

IV. Provider business mailing address

21 BLOOMINGDALE RD PARTIAL HOSPITALIZATION
WHITE PLAINS NY
10605-1504
US

V. Phone/Fax

Practice location:
  • Phone: 914-997-8615
  • Fax: 914-997-8635
Mailing address:
  • Phone: 914-997-8615
  • Fax: 914-997-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberM312836-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: