Provider Demographics
NPI:1962405597
Name:KOVAL, JOHN F (RPA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:KOVAL
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Gender:M
Credentials:RPA
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Mailing Address - Street 1:2649 STRANG BLVD
Mailing Address - Street 2:STE 304
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2939
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-736-0703
Practice Address - Fax:914-736-9234
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2022-12-02
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Provider Licenses
StateLicense IDTaxonomies
NY099714363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
5342L24931Medicare PIN
Q10711Medicare UPIN