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Individual

DR. IVO BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
122 MAPLE AVE FL 8, WHITE PLAINS, NY 10601-4706
(914) 849-5300
Mailing address
122 MAPLE AVE # 837, WHITE PLAINS, NY 10601-4706
(914) 849-5300

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA11204200
NJ
2084N0400X
Neurology Physician
3311841
NY
2084V0102X
Vascular Neurology Physician
25MA11204200
NJ
2084V0102X
Vascular Neurology Physician
Primary
3311841
NY

Other

Enumeration date
05/10/2017
Last updated
09/30/2024
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