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Individual

MAJA MIRKOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDE, BC-ADM

Contact information

Practice address
745 5TH AVE STE 500, NEW YORK, NY 10151-0099
(347) 265-1148
(855) 817-0064
Mailing address
2944 W 5TH ST APT 14S, BROOKLYN, NY 11224-3844
(347) 265-1148
(855) 817-0064

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007093
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
Enumeration date
12/30/2014
Last updated
04/15/2025
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