| Doctor Name: | MS. MARINA PAVLOVIC |
| NPI Number: | 1003183112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F336925 |
| Business Practice Address: | 120 Mineola Blvd Mineola, NY - 115014064 |
| Business Phone Number: | 5166633000 |
| Business Fax Number: | |
| Mailing Address: | 83 Aspen St, FLORAL PARK |
| State: | NY |
| Postal Code: | 110013429 |
| Phone Number: | 9177509465 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2011 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F336925 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |