Individual
ENISA DUKANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3407 31ST AVE APT 1C, ASTORIA, NY 11106-1441
(347) 924-2471
Mailing address
3407 31ST AVE APT 1C, ASTORIA, NY 11106-1441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023084
NY
363A00000X
Physician Assistant
25MP00532400
NJ
Other
Enumeration date
01/21/2019
Last updated
07/27/2023
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