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Ida Jivotovski
Pediatric Nurse Practitioner in Stamford, Connecticut
NPI 1477229144

Ida Jivotovski is a Pediatric Nurse Practitioner based in Pleasantville, CT and is specialized in Pediatrics. Ida Jivotovski practices in Stamford, CT. The NPI Number for Ida Jivotovski is 1477229144 and holds a License No. 9884 (Connecticut).

The current practice location address for Ida Jivotovski is 1200 High Ridge Rd Ste 3, Stamford, CT and can be reached out via phone at 203-359-4211.

Location: 1200 High Ridge Rd Ste 3, Stamford, CT, 10570-1032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477229144
Provider Name
Ida Jivotovski
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 High Ridge Rd Ste 3, Stamford, CT, 10570-1032
Phone Number
203-359-4211
Fax Number
Provider Enumeration Date
08/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 High Ridge Rd Ste 3
City
Stamford
State
Connecticut
Zip
06905-1202
Phone Number
203-359-4211
Fax Number
person
Provider Business Mailing Address Details
Address
1200 High Ridge Rd Ste 3
City
Stamford
State
Connecticut
Zip
06905-1202
Phone Number
203-359-4211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
9884 (Connecticut)
Definition
Definition to come...
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