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Individual

DR. IGOR VASILJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 408-2411
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 408-2411

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
692
WY

Other

Enumeration date
08/27/2015
Last updated
11/22/2019
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