Individual
MILICENT HELENA FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 LEXINGTON AVE FL 10, NEW YORK, NY 10016-6020
(212) 335-0034
Mailing address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 323-6861
(859) 323-1194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
310200
NY
Other
Enumeration date
04/19/2016
Last updated
09/05/2024
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