Provider Demographics
NPI:1891762472
Name:TOKAR, SVETLANA (DO)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:TOKAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 PERRY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-4111
Mailing Address - Country:US
Mailing Address - Phone:718-231-6700
Mailing Address - Fax:718-515-5454
Practice Address - Street 1:3071 PERRY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-4111
Practice Address - Country:US
Practice Address - Phone:718-231-6700
Practice Address - Fax:718-515-5454
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233894207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY450902OtherAETNA
4884P1OtherB/C B/S
NY0149534OtherGHI
NY02716970Medicaid
NY233894-A14OtherHEALTH FIRST
NY5C8764OtherHEALTH NET
NY000000118985OtherGHI/HMO
NYP3691515OtherOXFORD
NY2589524OtherUNITED HEALTH CARE
NY7625676OtherAETNA PPO
NY5C8764OtherHEALTH NET
4884P1OtherB/C B/S