Organization
O & P PLUS
Active
Organization
O & P PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CVITKOVIC PA PT (PARTNER)
(914) 961-1600
Entity
Organization
Contact information
Practice address
115 MAIN ST, SUITE 202, TUCKAHOE, NY 10707-2948
(914) 961-1010
(914) 961-1011
Mailing address
115 MAIN ST, SUITE 202, TUCKAHOE, NY 10707-2948
(914) 961-1600
(888) 270-4616
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C36477
NY
224L00000X
Pedorthist
9603
NY
225000000X
Orthotic Fitter
—
NY
225100000X
Physical Therapist
019369
NY
225X00000X
Occupational Therapist
008302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03494906
—
NY
Enumeration date
02/17/2012
Last updated
11/01/2016
Update your record
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