Provider Demographics
NPI:1013323641
Name:VUKELIC, MILENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MILENA
Middle Name:
Last Name:VUKELIC
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 1:1400 PELHAM PKWY S RM 3N6
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1197
Mailing Address - Country:US
Mailing Address - Phone:718-918-3015
Mailing Address - Fax:718-918-3015
Practice Address - Street 1:1400 PELHAM PKWY S RM 3N6
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1197
Practice Address - Country:US
Practice Address - Phone:718-918-3015
Practice Address - Fax:718-918-3015
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305593207RR0500X
MA271870207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty