SARA KRIVAN


Address: 205 Jamaica Ave, Medford, NY 11763-3239
Phone: 6313538818

SARA KRIVAN (NPI# 1487150785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487150785
Entity Type Individual
Full Name SARA KRIVAN
Practice Address 205 Jamaica Ave
Medford
NY 11763-3239
Practice Telephone 6313538818
Mailing Telephone 6313538818
Enumeration Date 2018-04-04
Last Update Date 2018-04-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NY EMPIRE BLUE CROSS BLUE SHEILD CDKSC8727058 01

Office Location

Street Address 205 JAMAICA AVE
City MEDFORD
State NY
Zip Code 11763-3239

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
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1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696261 Julia Elizabeth Erskine Student in an Organized Health Care Education/Training Program 119 Boston Ave Apt 1, Medford, MA 02155-3570 2020-10-16
1720695695 Elizabeth Moynihan Student in an Organized Health Care Education/Training Program 9 Marion St, Medford, MA 02155-6219 2020-09-25
1043820764 Shane L Totten Student in an Organized Health Care Education/Training Program 19 Hamilton St, Medford, MA 02155-4207 2020-08-06
1649810136 Kelly Alaina Walsh Student in an Organized Health Care Education/Training Program 289 Elm St Apt 62c, Medford, MA 02155-1068 2020-01-13
1508316829 Sierra Ruth Fuller Student in an Organized Health Care Education/Training Program 345 Salem St, Medford, MA 02155-3308 2016-10-11
1447605159 Andrew Allen Fryer Student in an Organized Health Care Education/Training Program 32 Nottingham Dr, Medford, NJ 08055-8533 2016-05-01
1376959411 Parham Shahkar Student in an Organized Health Care Education/Training Program 3920 Mystic Valley Pkwy Apt 1121, Medford, MA 02155-6911 2014-07-09
1669895181 Louise Haddock Student in an Organized Health Care Education/Training Program 12 Hadley Pl, #2, Medford, MA 02155-3905 2014-02-04
1275964256 Steven Matta Student in an Organized Health Care Education/Training Program 100 Station Lndg Unit 405, Medford, MA 02155-5179 2013-12-02
1922610286 Kimberly Patricia Rosalia Student in an Organized Health Care Education/Training Program 12 Platinum Ct, Medford, NY 11763-2247 2020-08-18
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 11763

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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