Provider Demographics
NPI:1912511015
Name:RAMUSEVIC, BUKURIJE
Entity Type:Individual
Prefix:MRS
First Name:BUKURIJE
Middle Name:
Last Name:RAMUSEVIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 E MILL DR APT 2F
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4091
Mailing Address - Country:US
Mailing Address - Phone:347-339-3836
Mailing Address - Fax:
Practice Address - Street 1:240 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5841
Practice Address - Country:US
Practice Address - Phone:347-720-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP102615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health