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Individual

DR. IOSIF KOLBOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 WESTCHESTER AVE, SUITE 405, WHITE PLAINS, NY 10604-2906
(914) 683-6474
(914) 682-6403
Mailing address
210 WESTCHESTER AVE, 3RD FLOOR, WHITE PLAINS, NY 10604-2901
(914) 681-3146
(914) 682-6403

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
042936
CT
207RN0300X
Nephrology Physician
Primary
455919-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000077243
GHI HMO
NY
01
0005947624
AETNA (NON HMO)
NY
01
002989
CONNECTICARE
NY
05
01695629/0233897
NY
01
0D2976
HEALTH NET
NY
01
133884168
PHCS
NY
01
173AU1/173AU2
BLUE CROSS ALL PLANS
NY
01
1829646
UNITED HEALTH CARE
NY
01
3375645
AENTAN HMO
NY
01
3399522
GHI PPO
NY
01
P670485
OXFORD
NY
Enumeration date
01/10/2006
Last updated
10/16/2013
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