Koltovich, Paul William
Koltovich, Paul William is an individual health care provider with primary practice located at 12 N 7Th Ave , Mount Vernon NY 10550-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koltovich, Paul William can be contacted via phone (914) 664-8000.Contact Information
Primary practice address
12 N 7Th Ave
Mount Vernon NY 10550-2026
Phone: (914) 664-8000
Fax: (914) 664-8015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 185987-1 | New York |
Profile Details
| NPI number | 1396719027 |
|---|---|
| LBN Legal business name | Koltovich, Paul William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Oct 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396719027 | NPPES |
| New York | MEDICAID | 01265558 |
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