Provider Demographics
NPI:1497909345
Name:DRAZENOVIC NAVARRO, IVO JOE (MD)
Entity Type:Individual
Prefix:
First Name:IVO
Middle Name:JOE
Last Name:DRAZENOVIC NAVARRO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:99 DIVISION AVE
Mailing Address - Street 2:THE WILLIAMSBURG FAMILY HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-6620
Mailing Address - Country:US
Mailing Address - Phone:718-599-6200
Mailing Address - Fax:718-599-1477
Practice Address - Street 1:99 DIVISION AVE
Practice Address - Street 2:THE WILLIAMSBURG FAMILY HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-6620
Practice Address - Country:US
Practice Address - Phone:718-599-6200
Practice Address - Fax:718-599-1477
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY273301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine