Ivan Mark Pavkovic in New Hyde Park - Neurodevelopmental Disabilities
Ivan Mark Pavkovic - NPI 1528060068
Ivan Mark Pavkovic is a Neurodevelopmental Disabilities in New Hyde Park, New York. Ivan Mark Pavkovic practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Ivan Mark Pavkovic is 1528060068. The last update date is 2016-04-05.
Ivan Mark Pavkovic's current location address is 410 Lakeville Rd, New Hyde Park, New York. You can contact this provider via phone number 5164655255. The mailing address for Ivan Mark Pavkovic is 410 Lakeville Rd, New Hyde Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Mark Pavkovic |
|---|---|
| Address | 410 Lakeville Rd, New Hyde Park, New York |
| Phone Number | 5164655255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528060068 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2016-04-05 |
Provider Mailing Address Detail
| Address | 410 Lakeville Rd |
|---|---|
| City | New Hyde Park |
| State | New York (NY) |
| Post Code | 110421101 |
| Phone Number | 5164655255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 2008-01446 |
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Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4056 | NE | BLUE CROSS BLUE SHIELD NE |
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What is the unique provider identifier assigned to Ivan Mark Pavkovic?
The Ivan Mark Pavkovic has been issued the NPI (National Provider Identifier) 1528060068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Ivan Mark Pavkovic located?
The Ivan Mark Pavkovic is located at 410 Lakeville Rd, New Hyde Park, NY 110421101.
What is Ivan Mark Pavkovic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ivan Mark Pavkovic's area of specialization is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 2080P0008X.
On what date did the Ivan Mark Pavkovic receive its 1528060068 assignment from the Centers for Medicare & Medicaid Services?
The Ivan Mark Pavkovic was assigned its 1528060068 by the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information related to Ivan Mark Pavkovic most recently updated or refreshed?
The details pertaining to the Ivan Mark Pavkovic, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-05.