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General NPI Number Information
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NPI Number | 1013421403
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Entity Type | Organization
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Legal Business Name | M.STAROVIC PSYCHIATRY M.D. PLLC
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 116 W 23RD ST STE 500
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone | 818-255-8433
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Fax | 866-271-0432
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Provider Business Mailing Address
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Address Line | 116 W 23RD ST STE 500
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone | 818-255-8433
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Fax | 866-271-0432
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MILOS STAROVIC
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Credential | MD
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Telephone | 818-255-8433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 269365
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License Number State | NY
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