Organization
QUEENS NEPHRON MEDICINE DOCS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LJUBISA MICIC MD (PRESIDENT)
(347) 438-1950
Entity
Organization
Contact information
Practice address
2604 169TH ST, FLUSHING, NY 11358-1131
(347) 438-1950
Mailing address
2604 169TH ST, FLUSHING, NY 11358-1131
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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