Individual
EDIN DELIMUSTAFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
101 NICHOLLS ROAD HSC LEVEL 3, STONY BROOK, NY 11794-8036
(631) 444-2198
Mailing address
101 NICHOLLS ROAD HSC LEVEL 3, STONY BROOK, NY 11794-8036
(631) 444-2198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016275-1
NY
Other
Enumeration date
12/21/2012
Last updated
01/29/2025
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