Provider Demographics
NPI:1851304455
Name:MILSTEIN, VLADIMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:
Last Name:MILSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 REMOUNT RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7401
Mailing Address - Country:US
Mailing Address - Phone:704-865-3848
Mailing Address - Fax:704-854-3086
Practice Address - Street 1:1867 REMOUNT RD
Practice Address - Street 2:SUITE H
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7401
Practice Address - Country:US
Practice Address - Phone:704-865-3848
Practice Address - Fax:704-854-3086
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1662922084P0800X
NC94009372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5920144Medicaid
NY01783348Medicaid
NY01783348Medicaid