MARIJA VICANOVIC

BRONX, NY
NPI1477361905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F355127)
Enumeration Date2024-12-30
Last Update Date2024-12-30
Business Address
MARIJA VICANOVIC NP
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-583-7736
Mailing Address
MARIJA VICANOVIC NP
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401