Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 8562130 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 8562130 | NY |
NPI | 1063658078 |
---|---|
Provider Name | Aleksandar Adzic |
First Address | East Setauket, NY 11733-3461 |
Second Address | Brooklyn, NY 11219-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 29/10/2018 |