Provider Demographics
NPI:1003118068
Name:DUENAS MILIAN, YANELA M (MD)
Entity type:Individual
Prefix:
First Name:YANELA
Middle Name:M
Last Name:DUENAS MILIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YANELA
Other - Middle Name:MARGARITA
Other - Last Name:DUENAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-255-7011
Mailing Address - Fax:315-255-7099
Practice Address - Street 1:17 LANSING ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1983
Practice Address - Country:US
Practice Address - Phone:315-255-7011
Practice Address - Fax:315-255-7099
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249989207R00000X
NY290319207R00000X
DEC1-0012556208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05700716Medicaid
VAVV3245AMedicare PIN
VAP00975425Medicare PIN