Simon Krivor PA

NPI 1710032602 - Physician Assistant - 363AM0700X

NPI Details
NPI 1710032602
Gender Male
Enumeration Date 01/24/2007
Last Updated 05/07/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
622 W 168TH ST
DEPARTMENT OF INTERVENTIONAL CARDIOLOGY, NYPH COLUMBIA
NEW YORK NY, 10032-3720, US
Phone (212) 305-2500
Fax
Business Location
13 WYLDWOOD DR
TARRYTOWN NY, 10591-5057, US
Phone (914) 299-3840
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 007852
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According to our database, Simon Krivor PA NPI is 1710032602, taxonomy code is 363AM0700X and license number is 007852, license state is located at New York. Simon Krivor PA physically located at 622 W 168th St, New York NY, 10032-3720. NPI Number Simon Krivor PA has the Individual type.

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1710032602 NPI number is provided on an as is basis without warranty of any kind. 1710032602 is maintained by the National Plan & Provider Enumeration System. The contents of Simon Krivor PA are for informational purposes only.