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Individual

DR. TODD R. COVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
200749-1
NY
207ND0101X
MOHS-Micrographic Surgery Physician
ME91883
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12U912
BLUE CROSS/ BLUE SHIELD
NY
01
2201435
GHI
NY
01
5C8188
HEALTHNET
NY
01
P2712184
OXFORD
NY
Enumeration date
07/31/2006
Last updated
03/15/2021
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