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NPI Code Detail

MEDICARE: DUSAN PEKOVIC MD PC

MEDICARE: DUSAN PEKOVIC MD PC
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
12084P0800XPsychiatry Physician197841NY

General Provider Information

NPI Number : 1982977930
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUSAN PEKOVIC MD PC
Provider Business Mailing Address
First Line : 333 E 46TH ST
Second Line : #1G
City : NEW YORK
State : NY
Zip : 10017-7401
Country : US
Telephone Number : 212-661-9449
Fax Number : 212-661-1882
Provider Business Practice Location Address
First Line : 333 E 46TH ST
Second Line : #1G
City : NEW YORK
State : NY
Zip : 10017-7401
Country : US
Telephone Number : 212-661-9449
Fax Number : 212-661-1882
Authorized Official
Title or Position : OWNER
Name : DR. DUSAN PEKOVIC
Credential : MD
Telephone Number : 212-661-9449
Provider Enumeration Date : 02/21/2012
Last Update Date : 02/25/2012

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