Krakovitz, Evan Keith

Krakovitz, Evan Keith is an individual health care provider with primary practice located at 210 Westchester Ave , White Plains NY 10604-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Krakovitz, Evan Keith can be contacted via phone (914) 682-6557.

Contact Information

Primary practice address
210 Westchester Ave White Plains NY 10604-2901
Phone: (914) 682-6557
Fax: (914) 682-6403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 199530 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 043059 Connecticut

Profile Details

NPI number 1194704015
LBN Legal business name Krakovitz, Evan Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 16th, 2013 - about 11 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 1194704015 NPPES
New York MEDICAID 0183254/02338970

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