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Individual

SAMUEL B KRIVIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-8070
(631) 444-1535
Mailing address
NEW YORK BRAIN AND SPINE SURGERY, HSC T12 ROOM 080, STONY BROOK, NY 11794-8122
(516) 993-5947

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9105657
FL
363AS0400X
Surgical Physician Assistant
Primary
014711
NY

Other

Enumeration date
09/28/2010
Last updated
06/19/2014
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