Doctor Name: | JOHN CEVERA |
NPI Number: | 1003891847 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 212282 |
Business Practice Address: | 6 Executive Park Dr Entr C Albany, NY - 122033791 |
Business Phone Number: | 5184829111 |
Business Fax Number: | 5184826142 |
Mailing Address: | 6 Executive Park Dr, Entr C ALBANY |
State: | NY |
Postal Code: | 122033791 |
Phone Number: | 5184829111 |
Fax Number: | 5184826142 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 02/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 212282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |