Individual
DR. PHILLIP KIVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
Mailing address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
215583
NY
2085R0202X
Diagnostic Radiology Physician
G7829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073623
—
NY
05
—
1841256153
—
CA
Enumeration date
04/25/2006
Last updated
11/04/2014
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