Individual
DR. MIODRAG VELICKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, FIRST FLOOR, NEW YORK, NY 10029-6501
(212) 241-7076
(212) 860-4952
Mailing address
5 E 98TH ST, BOX 1139, NEW YORK, NY 10029-6501
(212) 241-7076
(212) 860-4952
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
222598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02213096
—
NY
01
—
07Q131
EMPIRE BC BS
NY
Enumeration date
01/27/2006
Last updated
06/02/2008
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