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Contact Information

MILENA KOLESNIKOVA
586 MIDLAND AVE
STATEN ISLAND, NY10306-5903
 Phone: 646-598-7791
 Fax: 646-437-5474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MILENA KOLESNIKOVA · (Female)

NPI # 1285065557
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2013
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 302026
  • NY Medicaid 05839372
  • NY Other 302026 NY MEDICAL LICENSE
Hospital affiliation(s)
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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