Individual
DONNA MILDVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 E 17TH ST, NEW YORK, NY 10003-3805
(212) 420-4005
Mailing address
350 E 17TH ST, NEW YORK, NY 10003-3805
(212) 420-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01434380
—
NY
Enumeration date
11/08/2005
Last updated
03/27/2024
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