Provider Demographics
NPI:1326123639
Name:MILSTEIN, MARK J (MD)
Entity Type:Individual
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First Name:MARK
Middle Name:J
Last Name:MILSTEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER - EMG LAB
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:718-920-4930
Mailing Address - Fax:718-231-3718
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER - EMG LAB
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-4930
Practice Address - Fax:718-231-3718
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2015-10-13
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Provider Licenses
StateLicense IDTaxonomies
NY2382482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology