SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13G

                    Under the Securities Exchange Act of 1934

                               (Amendment No. 1)*

                            MILESTONE SCIENTIFIC INC.
--------------------------------------------------------------------------------
                                (Name of Issuer)

                     Common Stock, $.001 Par Value Per Share
--------------------------------------------------------------------------------
                         (Title of Class of Securities)

                                    59935P100
                              59935P944 (Warrants)
                              --------------------
                                 (CUSIP Number)

                                December 31, 2003
                                -----------------
                      (Date of Event which Requires Filing
                               of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:

            [ ]   Rule 13d-1(b)
            [X]   Rule 13d-1(c)
            [ ]   Rule 13d-1(d)

     *The remainder of this cover page shall be filled out for a reporting
person's initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which would
alter the disclosures provided in a prior cover page.

     The information required on the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("Act") or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other provisions of the Act (however, see
the Notes).


                               Page 1 of 6 pages



--------------------------------                    ----------------------------
CUSIP No.  59935P100; 59935P944       13G           Page  2  of  6  Pages
           --------------------                          ---    ---
(Warrants)
----------
--------------------------------                    ----------------------------
--------------------------------------------------------------------------------
     1 NAME OF REPORTING PERSON
       I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

       Cumberland Associates LLC
--------------------------------------------------------------------------------
     2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
       (a)     [ ]

       (b)     [X]
--------------------------------------------------------------------------------
     3 SEC USE ONLY

--------------------------------------------------------------------------------
     4 CITIZENSHIP OR PLACE OF ORGANIZATION

       New York
--------------------------------------------------------------------------------
                 5 SOLE VOTING POWER

                   2,009,345
              ------------------------------------------------------------------
  NUMBER OF      6 SHARED VOTING POWER
   SHARES
BENEFICIALLY       0
  OWNED BY    ------------------------------------------------------------------
    EACH         7 SOLE DISPOSITIVE POWER
  REPORTING
   PERSON          2,009,345
    WITH      ------------------------------------------------------------------
                 8 SHARED DISPOSITIVE POWER

                   0
--------------------------------------------------------------------------------
     9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

       2,009,345
--------------------------------------------------------------------------------
    10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ]

--------------------------------------------------------------------------------
    11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

       10.9%
--------------------------------------------------------------------------------
    12 TYPE OF REPORTING PERSON*

       OO, IA
--------------------------------------------------------------------------------
                      *SEE INSTRUCTION BEFORE FILLING OUT!





Item 1(a)               Name of Issuer:
                        --------------

                        Milestone Scientific Inc. (the "Issuer")

Item 1(b)               Address of Issuer's Principal Executive Offices:
                        -----------------------------------------------

                        220 South Orange Avenue
                        Livingston, New Jersey 07039

Items 2(a)              Name of Person Filing:
                        ---------------------

                        This statement is being filed by Cumberland Associates
                        LLC. Cumberland Associates LLC is a limited liability
                        company organized under the laws of the State of New
                        York, and is engaged in the business of managing, on a
                        discretionary basis, eight securities accounts, the
                        principal one of which is Cumberland Partners. Two of
                        these accounts hold Shares (as defined in Item 2(d)
                        below) and Warrants (as defined in Item 4(a) below) (the
                        "Accounts"). Gary Tynes, Bruce G. Wilcox, Andrew M.
                        Wallach, Lawrence M. Rifkin and Jeffrey E. Eberwein are
                        the members (the "Members") of Cumberland Associates
                        LLC.

Item 2(b)               Address of Principal Business Office:
                        ------------------------------------

                        The address of the principal business and office of
                        Cumberland Associates LLC and each of the Members is
                        1114 Avenue of the Americas, New York, New York 10036.

Item 2(c)               Citizenship:
                        -----------

                        Cumberland Associates LLC is a New York limited
                        liability company. Each of the Members is a citizen of
                        the United States.

Item 2(d)               Title of Class of Securities:
                        ----------------------------

                        Common Stock, par value $.001 per share (the "Shares")

Item 2(e)               CUSIP Numbers:
                        -------------

                        59935P100
                        59935P944 (Warrants)

Item 3                  Not Applicable


                               Page 3 of 6 pages



Item 4.                 Ownership:
                        ---------

Item 4(a)               Amount Beneficially Owned:
                        -------------------------

                        As of the date hereof, Cumberland Associates LLC may be
                        deemed the beneficial owner of (i) 1,980,773 Shares and
                        (ii) warrants to purchase 28,572 Shares ("Warrants") for
                        an aggregate beneficial ownership of 2,009,345 Shares.

Item 4(b)               Percent of Class:
                        ----------------

                        The number of Shares of which Cumberland Associates LLC
                        may be deemed to be the beneficial owner constitutes
                        approximately 10.9% of the total number of Shares
                        outstanding. The percentages used herein are calculated
                        based upon a total 18,466,605 Shares outstanding, equal
                        to the sum of (i) 18,438,033 Shares issued and
                        outstanding as of December 31, 2003 and (ii) 28,572
                        Shares to be received upon exercise of the Warrants.

Item 4(c)               Number of shares as to which such person has:
                        --------------------------------------------

                        (i)   Sole power to vote or to direct the vote:
                              2,009,345

                        (ii)  Shared power to vote or to direct the vote: 0

                        (iii) Sole power to dispose or to direct the disposition
                              of: 2,009,345

                        (iv)  Shared power to dispose or to direct the
                              disposition of: 0

Item 5                  Ownership of Five Percent or Less of a Class:
                        --------------------------------------------

                        If this statement is being filed to report the fact that
                        as of the date hereof the reporting person has ceased to
                        be the beneficial owner of more than five percent of the
                        class of securities, check the following [ ].

Item 6                  Ownership of More than Five Percent on Behalf of Another
                        --------------------------------------------------------
                        Person:
                        ------

                        The beneficial owners of the Accounts have the right to
                        participate in the receipt of dividends from, or
                        proceeds from the sale of, the Shares


                               Page 4 of 6 pages



                        and Warrants held for each Account in accordance with
                        their ownership interests in each such Account.

Item 7                  Identification and Classification of the
                        ----------------------------------------
                        Subsidiary Which Acquired the Security Being
                        --------------------------------------------
                        Reported on By the Parent Holding Company:
                        -----------------------------------------

                        Not Applicable

Item 8                  Identification and Classification of Members of the
                        ---------------------------------------------------
                        Group:
                        -----

                        Not Applicable

Item 9                  Notice of Dissolution of Group:
                        ------------------------------

                        Not Applicable

Item 10                 Certification:
                        -------------

     By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were not acquired and are not held for the
purpose of or with the effect of changing or influencing the control of the
Issuer of the securities and were not acquired and are not held in connection
with or as a participant in any transaction having that purpose or effect.


                               Page 5 of 6 pages



                                    SIGNATURE
                                    ---------

     After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.

Dated:  February 12, 2004

                              CUMBERLAND ASSOCIATES LLC


                              By:  /s/ Bruce G. Wilcox
                                   -----------------------
                                   Name:   Bruce G. Wilcox
                                   Title:  Member


                               Page 6 of 6 pages