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Ms. Tauta Ljuljic
Medical Physician Assistant in Staten Island, New York
NPI 1659356590

Tauta Ljuljic is a Medical Physician Assistant based in Staten Island, NY and is specialized in Medical. Tauta Ljuljic practices in Staten Island, NY. The NPI Number for Tauta Ljuljic is 1659356590 and holds a License No. 008191 (New York).

The current practice location address for Tauta Ljuljic is 475 Seaview Ave, Staten Island, NY and can be reached out via phone at 718-226-9158.

Location: 475 Seaview Ave, Staten Island, NY, 10305-4900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659356590
Provider Name
Tauta Ljuljic
Credential
Provider Entity Type
Individual
Gender
Female
Address
475 Seaview Ave, Staten Island, NY, 10305-4900
Phone Number
718-226-9158
Fax Number
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02282415 05 NY
institution
Provider Business Practice Location Address Details
Address
475 Seaview Ave
City
Staten Island
State
New York
Zip
10305-3436
Phone Number
718-226-9158
Fax Number
person
Provider Business Mailing Address Details
Address
475 Seaview Ave
City
Staten Island
State
New York
Zip
10305-3436
Phone Number
718-226-9158
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
008191 (New York)
Definition
Definition to come...
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