# DR. JEFFREY BOVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750498655
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X047881 | NY | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00020629005 | BC/BS | NY |
| 01 | — | 161354798 | AETNA | NY |
| 01 | — | 5898019 | GHI | NY |
| 01 | — | 8890027 | INDEPENDENT HEALTH | NY |
| 01 | — | C04788-8 | WCB | NY |