MEDICARE: MS. DIANE MILTNER

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
1	235500000X	Speech/Language/Hearing Specialist/Technologist

General Provider Information

NPI Number	:	1942509880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANE MILTNER

Provider Business Mailing Address
First Line	:	281 KAYMAR DR # L
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-3011
Country	:	US
Telephone Number	:	716-698-6647
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 KAYMAR DR # L
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-3011
Country	:	US
Telephone Number	:	716-698-6647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	03/17/2011

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Directions to “ MS. DIANE MILTNER ” Practice Location

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