Individual
DR. JOHN BIVONA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 LAUREL AVE, SUITE 210, CORNWALL, NY 12518-1481
(845) 534-0008
(845) 534-0018
Mailing address
21 LAUREL AVE, STE 210, CORNWALL, NY 12518-1481
(845) 534-0008
(845) 534-0018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
103645-1
NY
Other
Enumeration date
09/27/2006
Last updated
04/11/2008
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