Individual
ANITA VALERIA PAVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 NORTH RD, SUITE 103, POUGHKEEPSIE, NY 12601-1172
(845) 454-4600
(845) 454-4609
Mailing address
243 NORTH RD, SUITE 304, POUGHKEEPSIE, NY 12601-1172
(845) 454-4600
(845) 454-4609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1541401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00784932
—
NY
01
—
117157
MVP
—
Enumeration date
12/04/2006
Last updated
03/03/2016
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