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Individual

JASMINA HANDANOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 682-9100
Mailing address
6810 FOREST AVE APT 3C, RIDGEWOOD, NY 11385-4408
(347) 683-0025

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
684653
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403836
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003579020
MEDICAID
NY
05
1003579020
NY
Enumeration date
10/17/2021
Last updated
01/31/2022
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