Individual
IVONNE DABOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.
Contact information
Practice address
8900 VAN WYCK EXPY, DEPT OB/GYN, JAMAICA, NY 11418-2832
(718) 206-6808
Mailing address
8900 VAN WYCK EXPY, DEPT OB/GYN, JAMAICA, NY 11418-2832
(718) 206-6808
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02331322
—
NY
Enumeration date
03/02/2006
Last updated
08/18/2010
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