Provider Demographics
NPI:1467538918
Name:MILITE, FULVIA MARIA PIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FULVIA
Middle Name:MARIA PIA
Last Name:MILITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUSTAVE L LEVY PL # 1232
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-241-5656
Mailing Address - Fax:212-876-5519
Practice Address - Street 1:1 GUSTAVE L LEVY PL # 1232
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-5656
Practice Address - Fax:212-876-5519
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200188207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01999646Medicaid
NY59N031Medicare ID - Type Unspecified
NYG93257Medicare UPIN