Individual
LJILJANA MIJATOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST., BUFFALO, NY 14222
(716) 878-7701
(716) 878-7701
Mailing address
219 BRYANT ST., BUFFALO, NY 14222
(716) 878-7701
(716) 878-7316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
002096-1
NY
207L00000X
Anesthesiology Physician
Primary
246884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02869309
—
NY
Enumeration date
04/20/2006
Last updated
11/14/2013
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