Individual
DR. MIRJANA BLOKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 BLEECKER ST, 12TH FLOOR, NEW YORK, NY 10012-2420
(212) 505-2652
Mailing address
65 BLEECKER ST, 12TH FLOOR, NEW YORK, NY 10012-2420
(212) 505-2652
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
137190
NY
2084P0800X
Psychiatry Physician
Primary
137190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00367946
—
NY
Enumeration date
05/31/2007
Last updated
02/02/2022
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