Individual provider · Type 1 NPI

Milazim Durakovic, RPA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1790904308 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Fax (718) 226-6964

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008957-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1790904308

Milazim Durakovic, RPA-C's National Provider Identifier is 1790904308, issued on Apr 24, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on May 30, 2012.