Individual
DR. ANDREA TRACY ZIVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(215) 456-7595
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(215) 456-7595
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT204711
PA
Other
Enumeration date
06/27/2013
Last updated
06/23/2016
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