Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | NY | |
Y | 103T00000X | Psychologist | NY |
NPI | 1003325622 |
---|---|
Provider Name | Ljiljana Zecevic |
First Address | New York, NY 10065-7471 |
Second Address | New York, NY 10065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2017 |
Last Update Date | 08/01/2019 |