Individual provider · Type 1 NPI

Tauta Ljuljic

Medical Physician Assistant · Staten Island, NY

NPI number 1659356590 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9158 Map

Mailing address

1 Edgewater St, Suite 723
Staten Island, NY 10305-4900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008191 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1659356590

Tauta Ljuljic's National Provider Identifier is 1659356590, issued on Dec 14, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Feb 24, 2011.