Linda Ivans

NPI 1730595620 - Specialist - 174400000X

NPI Details
NPI 1730595620
Gender Female
Enumeration Date 07/11/2014
Last Updated 07/11/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
47 HUMPHREY DR
SYOSSET NY, 11791-4022, US
Phone (516) 921-7171
Fax
Business Location
47 HUMPHREY DR
SYOSSET NY, 11791-4022, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 167257021
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According to our database, Linda Ivans NPI is 1730595620, taxonomy code is 174400000X and license number is 167257021, license state is located at New York. Linda Ivans physically located at 47 Humphrey Dr, Syosset NY, 11791-4022. NPI Number Linda Ivans has the Individual type.

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1730595620 NPI number is provided on an as is basis without warranty of any kind. 1730595620 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Ivans are for informational purposes only.