Provider Demographics
NPI:1992936793
Name:STAROVIC, MILOS (MD)
Entity type:Individual
Prefix:
First Name:MILOS
Middle Name:
Last Name:STAROVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WEST 23RD STREET SUITE 500 ROOM 71
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:818-255-8433
Mailing Address - Fax:
Practice Address - Street 1:MANHATTAN PSYCHIATRIC CENTER 1 WARD'S ISLAND COMPLEX
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2107
Practice Address - Country:US
Practice Address - Phone:818-255-8433
Practice Address - Fax:866-271-0432
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2693652084P0800X
FLME1206722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry