Individual
DORJAN PANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 470-7873
Mailing address
6267 BARTON CREEK CIR, LAKE WORTH, FL 33463-6544
(561) 951-0819
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA11575100
NJ
207P00000X
Emergency Medicine Physician
282420
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA11575100
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
282420
NY
Other
Enumeration date
04/15/2014
Last updated
05/03/2024
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