Individual
ANDREW KOVALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 MCCLELLAN ST STE G01, SCHENECTADY, NY 12304-1024
(518) 347-5655
(518) 347-5656
Mailing address
624 MCCLELLAN ST STE G01, SCHENECTADY, NY 12304-1024
(518) 347-5655
(518) 347-5656
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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