Kovoor, Johnny G

Kovoor, Johnny G is an individual health care provider with primary practice located at 30 Kimball Ave , Yonkers NY 10704-4221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Kovoor, Johnny G can be contacted via phone (914) 237-8282.

Contact Information

Primary practice address
30 Kimball Ave Yonkers NY 10704-4221
Phone: (914) 237-8282
Fax: (914) 237-8575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 228788 New York
Other Service Providers / Specialist 174400000X 228788 New York

Profile Details

NPI number 1750382966
LBN Legal business name Kovoor, Johnny G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750382966 NPPES
New York Other 000000095726 GHI HMO #
New York Other 228788 GHI HMO #
New York Other 1310P1 GHI HMO #
New York MEDICAID 02466448 GHI HMO #
New York Other P2927478 GHI HMO #
New York Other 1310P12 GHI HMO #
New York Other 5996377 GHI HMO #

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