Provider Demographics
NPI:1851443311
Name:TOVT, SVETLANA
Entity Type:Individual
Prefix:MS
First Name:SVETLANA
Middle Name:
Last Name:TOVT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2020
Mailing Address - Country:US
Mailing Address - Phone:914-479-5593
Mailing Address - Fax:914-479-5593
Practice Address - Street 1:234 E149 STREET
Practice Address - Street 2:ROOM 6-20
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10706
Practice Address - Country:US
Practice Address - Phone:718-579-5000
Practice Address - Fax:718-579-5900
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009231363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical