Individual
ANISA BRACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 601-3014
Mailing address
196 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 601-3014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
358935
NY
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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