Provider Demographics
NPI:1275110215
Name:VESELINOVIC, SARA NINOSLAV (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:NINOSLAV
Last Name:VESELINOVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 THWAITES PL APT 1J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-7924
Mailing Address - Country:US
Mailing Address - Phone:347-853-2925
Mailing Address - Fax:
Practice Address - Street 1:660 THWAITES PL APT 1J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-7924
Practice Address - Country:US
Practice Address - Phone:347-853-2925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program