Individual
MR. SASA JEZDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
30 WALL ST, 4TH. FLOOR, NEW YORK, NY 10005-2201
(212) 514-6499
Mailing address
21-26 NEWTOWN AV., APT. 11, ASTORIA, NY 11102
(718) 709-1557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001272-1
NY
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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