Individual
MR. BERNARD JEROME KOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 PARK AVE, SUITE 110-8, HUNTINGTON, NY 11743-3976
(631) 269-5515
(631) 254-2470
Mailing address
775 PARK AVE, SUITE 110-8, HUNTINGTON, NY 11743-3976
(631) 269-5515
(631) 254-2470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR016795-1
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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