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1477229144
IDA JIVOTOVSKI
STAMFORD, CT
NPI
1477229144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 9884)
Enumeration Date
2021-08-21
Last Update Date
2024-11-22
Business Address
IDA JIVOTOVSKI
1200 HIGH RIDGE RD STE 3
STAMFORD, CT 06905-1202
Phone number: 465-813-2176
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Mailing Address
IDA JIVOTOVSKI
51 DENNIS LN
PLEASANTVILLE, NY 10570-1032
Phone number: 631-316-4553
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