Individual
ANDREW KOVALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000494921003
BLUE SHIELD OF NENY
NY
05
—
03686028
—
NY
01
—
200245431
CDPHP
NY
01
—
3019900
MVP
NY
01
—
M93091
EMPIRE BLUE CROSS
NY
Enumeration date
08/28/2008
Last updated
07/21/2022
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