Individual
FAHRUDIN DJUKANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 E 32ND ST, NEW YORK, NY 10016-6055
(212) 427-3986
Mailing address
3407 31ST AVE APT 1C, ASTORIA, NY 11106-1441
(347) 924-2474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
03/26/2021
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