Djokic, Miroslav
Djokic, Miroslav is an sole proprietor health care provider with primary practice located at 221 Broadway Suite 204, Amityville NY 11701-2780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Djokic, Miroslav can be contacted via phone (631) 598-5864.Contact Information
Primary practice address
221 Broadway Suite 204
Amityville NY 11701-2780
Phone: (631) 598-5864
Fax: (631) 598-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A87463 | California |
Profile Details
| NPI number | 1023048865 |
|---|---|
| LBN Legal business name | Djokic, Miroslav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 1st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023048865 | NPPES |
| California | MEDICAID | 00A874630 |
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