Individual
HENRY J VOTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 NATHAN D PERLMAN PLACE, SUITE 12S34, NEW YORK, NY 10003-3851
(212) 420-2124
(212) 420-3449
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(770) 666-9097
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
248683
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
23795
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
248683
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4239
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03080540
—
NY
01
—
A400011877
NGS
NY
01
—
BI - A400011876
MEDICARE PTAN
NY
01
—
RSL - A400011877
MEDICARE - PTAN
NY
Enumeration date
07/06/2006
Last updated
12/20/2011
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