DR. John Bivona JR., M.D.

NPI #1093806580 in Cornwall, New York

Provider Information

NPI Number: 1093806580
Entity Type: Individual
Name: DR. John Bivona JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Sep 27, 2006
Last Updated: Apr 11, 2008

Practice Location

Address: 21 LAUREL AVE
Address 2: SUITE 210
City: Cornwall
State: New York
ZIP Code: 12518-1481
Phone: (845) 534-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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