Provider Demographics
NPI:1104297944
Name:RATUSZNY, MILENA (PMHNP)
Entity type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:RATUSZNY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MELVILLE PARK RD STE 119
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3175
Mailing Address - Country:US
Mailing Address - Phone:516-448-8144
Mailing Address - Fax:
Practice Address - Street 1:25 MELVILLE PARK RD STE 119
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3175
Practice Address - Country:US
Practice Address - Phone:516-448-8144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401911363LP0808X
NY401911363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health