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NPI Code Detail

MEDICARE: SALVATORE JOSEPH MILAZZO PA-C

MEDICARE:   SALVATORE JOSEPH MILAZZO  PA-C
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
1363A00000XPhysician Assistant1171311NY
2363A00000XPhysician Assistant024822NY

General Provider Information

NPI Number : 1619500063
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVATORE JOSEPH MILAZZO PA-C
Provider Business Mailing Address
First Line : 2 OAK AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-3822
Country : US
Telephone Number : 646-938-7336
Fax Number :
Provider Business Practice Location Address
First Line : 1 W 125TH ST FRNT 3
Second Line :
City : NEW YORK
State : NY
Zip : 10027-4524
Country : US
Telephone Number : 212-265-2500
Fax Number : 646-952-0260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 03/18/2025

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Directions to “ SALVATORE JOSEPH MILAZZO PA-C” Practice Location

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