Individual
DR. SANJA JELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 543-8875
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 543-8875
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
261836
NY
207RP1001X
Pulmonary Disease Physician
261836
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
261836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02311879
—
NY
Enumeration date
11/22/2006
Last updated
08/06/2024
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