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NPI Code Detail

MEDICARE: MR. JOHN F KOVAL RPA

MEDICARE: MR. JOHN F KOVAL RPA
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
1363AM0700XMedical Physician Assistant099714NY

General Provider Information

NPI Number : 1962405597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN F KOVAL RPA
Provider Business Mailing Address
First Line : 2649 STRANG BLVD
Second Line : STE 304
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2939
Country : US
Telephone Number : 914-739-0087
Fax Number : 914-737-1714
Provider Business Practice Location Address
First Line : 1978 CROMPOND RD
Second Line :
City : CORTLANDT MANOR
State : NY
Zip : 10567-4111
Country : US
Telephone Number : 914-736-0703
Fax Number : 914-736-9234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 12/02/2022

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Directions to “ MR. JOHN F KOVAL RPA” Practice Location

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