Individual provider · Type 1 NPI
Marlyn V. Milicia, DPM
Foot & Ankle Surgery Podiatrist · Mattituck, NY
NPI number
1821096249
Active
Practice location
7905 Main Rd
Mattituck, NY 11766
Fax (631) 651-2794
Mailing address
9 Savanna Circle
Mount Sinai, NY 11766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 6016-1 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1821096249
Marlyn V. Milicia, DPM's National Provider Identifier is 1821096249, issued on Jul 9, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mattituck, NY. The record was last updated on Oct 18, 2012.