MEDICARE: DR. EVA GATEVA MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	223744-1	NY

General Provider Information

NPI Number	:	1942409768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVA GATEVA MD, PHD

Provider Business Mailing Address
First Line	:	3671 HUDSON MANOR TER
Second Line	:	5D
City	:	BRONX
State	:	NY
Zip	:	10463-1137
Country	:	US
Telephone Number	:	718-601-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 W 49TH ST
Second Line	:	STE 503
City	:	NEW YORK
State	:	NY
Zip	:	10019-7400
Country	:	US
Telephone Number	:	212-586-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	11/11/2009

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