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1750395000
LJUBISA MICIC
FLUSHING, NY
NPI
1750395000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NY 212787)
Enumeration Date
2006-07-29
Last Update Date
2013-05-09
Business Address
-- LJUBISA MICIC M.D.
2604 169TH ST
FLUSHING, NY 11358-1131
Phone number: 347-438-1950
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Mailing Address
-- LJUBISA MICIC M.D.
2604 169TH ST
FLUSHING, NY 11358-1131
Phone number: 347-438-1950
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