Individual
IVA PETKOVSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
236600
MA
2085R0202X
Diagnostic Radiology Physician
Primary
284211
NY
2085R0202X
Diagnostic Radiology Physician
47643
AZ
2085R0202X
Diagnostic Radiology Physician
A113555
CA
Other
Enumeration date
03/30/2009
Last updated
07/12/2016
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