Durakovic, Milazim

Durakovic, Milazim is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Durakovic, Milazim can be contacted via phone (718) 226-9158.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-9158
Fax: (718) 226-6964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 008957-1 New York

Profile Details

NPI number 1790904308
LBN Legal business name Durakovic, Milazim
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated May 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790904308 NPPES
New York MEDICAID 03412879

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