Nesin, Mirjana
Nesin, Mirjana is an sole proprietor health care provider with primary practice located at 104 Gedney St , Nyack NY 10960-2236. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nesin, Mirjana can be contacted via phone (845) 376-2481.Contact Information
Primary practice address
104 Gedney St
Nyack NY 10960-2236
Phone: (845) 376-2481
Fax: (845) 376-2381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 223707 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 178721 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0065130 | Maryland |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | D0065130 | Maryland |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 223707 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 178721 | New York |
Profile Details
| NPI number | 1558343210 |
|---|---|
| LBN Legal business name | Nesin, Mirjana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jan 21st, 2021 - about 4 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 | 1558343210 | NPPES |
| Massachusetts | MEDICAID | 2106914 |
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