Provider Demographics
NPI:1316105158
Name:STEVANOVIC, MILITZA (MD)
Entity type:Individual
Prefix:
First Name:MILITZA
Middle Name:
Last Name:STEVANOVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 GARTH RD APT 2J4
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4014
Mailing Address - Country:US
Mailing Address - Phone:914-472-5354
Mailing Address - Fax:914-725-3963
Practice Address - Street 1:260 GARTH RD APT 2J4
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4014
Practice Address - Country:US
Practice Address - Phone:914-472-5354
Practice Address - Fax:914-725-3963
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1301382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry