Healthcare Provider Details

I. General information

NPI: 1063090066
Provider Name (Legal Business Name): MILANKA STEVANOVIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VISTA BLVD
SLINGERLANDS NY
12159-2190
US

IV. Provider business mailing address

9 VISTA BLVD
SLINGERLANDS NY
12159-2190
US

V. Phone/Fax

Practice location:
  • Phone: 518-475-1515
  • Fax: 518-475-0645
Mailing address:
  • Phone: 518-475-1515
  • Fax: 518-475-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number336724-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: