Individual
LOUISE MARIE JOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
446 ROUTE 304 STE E, #105, BARDONIA, NY 10954-1646
(845) 623-8031
(845) 624-0928
Mailing address
265 N. HIGHLAND AVE, #105, NYACK, NY 10960-1627
(845) 358-5437
(845) 358-6120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
182018
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
182018-1
NY
Other
Enumeration date
11/17/2006
Last updated
03/31/2014
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