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 1:17 E 102 STREET , 5TH FLOOR
Practice Address - Street 2:FEINSTEIN IBD CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-8100
Practice Address - Fax:646-537-8921
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-06-02
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Provider Licenses
StateLicense IDTaxonomies
NY012946363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical