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General NPI Number Information
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NPI Number | 1619500063
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Entity Type | Individual
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Provider Name | SALVATORE JOSEPH MILAZZO PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1 W 125TH ST FRNT 3
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City | NEW YORK
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State | NY
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Zip | 10027-4524
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Country | US
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Telephone | 212-265-2500
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Fax | 646-952-0260
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Provider Business Mailing Address
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Address Line | 2 OAK AVE
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City | BRONX
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State | NY
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Zip | 10465-3822
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Country | US
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Telephone | 646-938-7336
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1171311
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 024822
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License Number State | NY
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