Individual
INA S ITZKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 PETER JEFFERSON PKWY STE 290, CHARLOTTESVILLE, VA 22911-8848
(434) 297-7140
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101286191
VA
207R00000X
Internal Medicine Physician
154575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01027256
—
NY
01
—
03E437Z761
MEDICARE-ACP
NY
Enumeration date
06/01/2006
Last updated
09/04/2025
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