Organization
DOC ON THE GO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM PAVLOVSKY APRN (OWNER)
(917) 330-1803
Entity
Organization
Contact information
Practice address
21 W MAIN ST, OYSTER BAY, NY 11771-2262
(917) 330-1803
Mailing address
125 SAGAMORE DR, SYOSSET, NY 11791-1613
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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