Provider Demographics
NPI:1366636623
Name:MIHALEVA, VELITCHKA VASILEVA (MD)
Entity Type:Individual
Prefix:MS
First Name:VELITCHKA
Middle Name:VASILEVA
Last Name:MIHALEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VELITCHKA
Other - Middle Name:VASILEVA
Other - Last Name:MIHALEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:107 WEST 4TH STREET
Mailing Address - Street 2:MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550
Mailing Address - Country:US
Mailing Address - Phone:914-699-7200
Mailing Address - Fax:914-699-0837
Practice Address - Street 1:107 W 4TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4002
Practice Address - Country:US
Practice Address - Phone:914-699-7200
Practice Address - Fax:914-699-4259
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045124207R00000X
NY243480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine