Blacic, Dijana
Blacic, Dijana is an individual health care provider with primary practice located at 160 Howells Rd Ste 2 , Bay Shore NY 11706-5320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blacic, Dijana can be contacted via phone (631) 647-7885.Contact Information
Primary practice address
160 Howells Rd Ste 2
Bay Shore NY 11706-5320
Phone: (631) 647-7885
Fax: (631) 647-7893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016908-1 | New York |
Profile Details
| NPI number | 1669555389 |
|---|---|
| LBN Legal business name | Blacic, Dijana |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Sep 4th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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