Individual
SIMON KRIVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
622 W 168TH ST, DEPARTMENT OF INTERVENTIONAL CARDIOLOGY, NYPH COLUMBIA, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
13 WYLDWOOD DR, TARRYTOWN, NY 10591-5057
(914) 299-3840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007852
NY
Other
Enumeration date
01/24/2007
Last updated
05/07/2010
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