Provider Demographics
NPI:1386698819
Name:MILNER, SVETLANA (OT)
Entity type:Individual
Prefix:MS
First Name:SVETLANA
Middle Name:
Last Name:MILNER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15611 AGUILAR AVE
Mailing Address - Street 2:SUITE P3
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2731
Mailing Address - Country:US
Mailing Address - Phone:718-380-4750
Mailing Address - Fax:
Practice Address - Street 1:15611 AGUILAR AVE
Practice Address - Street 2:SUITE P3
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2731
Practice Address - Country:US
Practice Address - Phone:718-380-4750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02405549Medicaid
NY02405549Medicaid
NYA400020360Medicare PIN