| Miodrag Velickovic, M.d. P.c. | |
|
1940 Commerce St #107 Yorktown Heights NY 10598-4428 | |
| (914) 962-1000 | |
| (914) 962-8267 |
| Full Name | Miodrag Velickovic, M.d. P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1940 Commerce St, Yorktown Heights, New York |
| Authorized Official Name and Position | Miodrag Velickovic (PRESIDENT) |
| Authorized Official Contact | 9149621000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miodrag Velickovic, M.d. P.c. 1940 Commerce St #107 Yorktown Heights NY 10598-4428 Ph: (914) 962-1000 | Miodrag Velickovic, M.d. P.c. 1940 Commerce St #107 Yorktown Heights NY 10598-4428 Ph: (914) 962-1000 |
| NPI Number | 1750554705 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 11/27/2008 |
| Medicare PECOS PAC ID | 7517032774 |
|---|---|
| Medicare Enrollment ID | O20080822000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750554705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 222598 (New York) | Primary |
| Provider Name | Miodrag Velickovic |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619948783 PECOS PAC ID: 6709835127 Enrollment ID: I20050112000928 |
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