MEDICARE: NATASHA RADOJCIC NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F353299-01	NY

General Provider Information

NPI Number	:	1982465837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA RADOJCIC NP

Provider Business Mailing Address
First Line	:	227 E 111TH ST APT 1D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-8402
Country	:	US
Telephone Number	:	732-423-2813
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 E 111TH ST APT 1D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-8402
Country	:	US
Telephone Number	:	732-423-2813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

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Directions to “ NATASHA RADOJCIC NP” Practice Location

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