Provider Demographics
NPI:1821859679
Name:BAJRIC, ANESSA (PA-C)
Entity type:Individual
Prefix:
First Name:ANESSA
Middle Name:
Last Name:BAJRIC
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2409 OCEAN AVE UNIT 1F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3576
Mailing Address - Country:US
Mailing Address - Phone:718-444-7774
Mailing Address - Fax:718-444-7775
Practice Address - Street 1:2409 OCEAN AVE UNIT 1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3576
Practice Address - Country:US
Practice Address - Phone:718-444-7774
Practice Address - Fax:718-444-7775
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-06-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant