Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 9026849 | NY |
NPI | 1568787133 |
---|---|
Provider Name | Jovana Lekovich |
First Address | New York, NY 10022-1009 |
Second Address | Brooklyn, NY 11242-1127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 07/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275301 | NYS LICENSE (01) | NY |