Doctor Name: | MISS ATHENA MILONAS |
NPI Number: | 1215177050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 078214 |
Business Practice Address: | 450 W Nyack Rd West Nyack, NY - 109941754 |
Business Phone Number: | 8453542121 |
Business Fax Number: | 8453542928 |
Mailing Address: | 321 Washington St, TAPPAN |
State: | NY |
Postal Code: | 109832615 |
Phone Number: | 8453980399 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 078214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |