Provider Demographics
NPI:1871060640
Name:MILIANO, JOSE JEAN PAUL
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:JEAN PAUL
Last Name:MILIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 EIGHTH AVENUE. 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018
Mailing Address - Country:US
Mailing Address - Phone:212-787-9700
Mailing Address - Fax:
Practice Address - Street 1:535 EIGHTH AVENUE. 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:212-787-9700
Practice Address - Fax:212-787-4418
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator