Ida Jivotovski
NPI #1477229144 in Stamford, Connecticut
Provider Information
- NPI Number
- 1477229144
- Entity Type
- Individual
- Name
- Ida Jivotovski
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Aug 21, 2021
- Last Updated
- Nov 22, 2024
Practice Location
- Address
- 1200 HIGH RIDGE RD STE 3
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06905-1202
- Phone
- (465) 813-2176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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