Provider Demographics
NPI:1841224094
Name:BARDAROVA, SVETOSLAVA VENELINOVA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SVETOSLAVA
Middle Name:VENELINOVA
Last Name:BARDAROVA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:FEINSTEIN IBD CENTER- 17 E 102 ND STREET
Mailing Address - Street 2:FLOOR 5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-8100
Mailing Address - Fax:646-537-8921
Practice Address - Street 1:1315 YORK AVE
Practice Address - Street 2:JILL ROBERTS IBD CENTER -WEILL CORNELL MEDICAL COLLEGE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5304
Practice Address - Country:US
Practice Address - Phone:212-746-6014
Practice Address - Fax:212-746-8144
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2018-07-24
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Provider Licenses
StateLicense IDTaxonomies
NY012946363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical