MEDICARE: DR. MILIVOJE MILOSEVIC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	144052	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821019720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILIVOJE MILOSEVIC MD

Provider Business Mailing Address
First Line	:	64 NAGLE AVE FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-1406
Country	:	US
Telephone Number	:	646-344-1715
Fax Number	:	917-997-9555

Provider Business Practice Location Address
First Line	:	3845 10TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-1850
Country	:	US
Telephone Number	:	463-441-7156
Fax Number	:	917-997-9555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	12/09/2020

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