Ristich, Miodrag

Ristich, Miodrag is an individual health care provider with primary practice located at 201 E 79Th St Suite 7J, New York NY 10021-0830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Ristich, Miodrag can be contacted via phone (212) 737-6990.

Contact Information

Primary practice address
201 E 79Th St Suite 7J New York NY 10021-0830
Phone: (212) 737-6990
Fax: (212) 988-3103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 111075 New York

Profile Details

NPI number 1669527925
LBN Legal business name Ristich, Miodrag
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669527925 NPPES
New York Other 111075 HIP
New York Other P518630 HIP
New York MEDICAID 00198843 HIP
New York Other 31O281 HIP

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