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Contact Information

ANNA KRAVTSOV, D.O
401 HAMBURG TPKE STE 302
WAYNE, NJ07470-2139
 Phone: 973-790-9222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANNA KRAVTSOV · (Female)

NPI # 1114243805
Status Active
Credentials D.O
Entity Individual
Enumeration date 04/20/2010
Last updated 06/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB09435000
  • NY License # 270608
  • NY License # 62969
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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