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NPI Code Detail

MEDICARE: DR. MILICA STEFANOVIC M.D.

MEDICARE: DR. MILICA STEFANOVIC M.D.
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
12084P0800XPsychiatry Physician216200NYNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112130OTHERRIRI LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912936824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MILICA STEFANOVIC M.D.
Provider Business Mailing Address
First Line : 580 WHITE PLAINS RD STE 510
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5152
Country : US
Telephone Number : 914-345-5900
Fax Number :
Provider Business Practice Location Address
First Line : 580 WHITE PLAINS RD STE 510
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5152
Country : US
Telephone Number : 914-345-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 05/07/2026

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