Provider Demographics
NPI:1285342071
Name:MILSTEIN, YOCHEVED JESSICA (APRN)
Entity type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:JESSICA
Last Name:MILSTEIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06710-1706
Mailing Address - Country:US
Mailing Address - Phone:347-225-4033
Mailing Address - Fax:
Practice Address - Street 1:133 COLUMBIA BLVD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06710-1706
Practice Address - Country:US
Practice Address - Phone:347-225-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine