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Vanessa J Milan-Leal, P.A.

Physician Assistant in Mineola, NY. Individual provider (NPI-1).

NPI number1194741983
StatusActive
Last updated in NPPESSep 19, 2023

Details

NPI
1194741983
Entity type
Individual (NPI-1)
Name
Vanessa J Milan-Leal
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2006
Certification date
Sep 19, 2023
Last updated
Sep 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant011157-1NYYes
207P00000X Emergency MedicinePA 011157-1NY

Practice location

259 1st Street
Mineola, NY 11501

Phone 516-663-3833

Mailing address

259 1st Street
Mineola, NY 11501

Phone 516-663-3833 · Fax 516-342-7076

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