Provider Demographics
NPI:1104128776
Name:CASTERAN-MILIERIS, PATRICIA (PT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:CASTERAN-MILIERIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 162ND ST
Mailing Address - Street 2:APT 2B
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2043
Mailing Address - Country:US
Mailing Address - Phone:917-771-8045
Mailing Address - Fax:
Practice Address - Street 1:44 SAINT MARKS PL
Practice Address - Street 2:1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8118
Practice Address - Country:US
Practice Address - Phone:212-529-5966
Practice Address - Fax:212-529-2987
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist