Individual
JOHNNY G KOVOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 KIMBALL AVE, YONKERS, NY 10704-4221
(914) 237-8282
(914) 237-8575
Mailing address
30 KIMBALL AVE, YONKERS, NY 10704-4221
(914) 237-8282
(914) 237-8575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228788
NY
207Q00000X
Family Medicine Physician
Primary
228788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095726
GHI HMO #
NY
05
—
02466448
—
NY
01
—
1310P1
EMPIRE BC/BS (YONKERS) #
NY
01
—
1310P12
EMPIRE BC/BS (NEW YORK) #
NY
01
—
228788
HIP#
NY
01
—
5996377
GHI PPO #
NY
01
—
P2927478
OXFORD#
NY
Enumeration date
08/10/2005
Last updated
03/18/2025
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