Doctor Name: | GREGORY YOVAN |
NPI Number: | 1215051065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS |
License Number: | |
Business Practice Address: | 113 Park Pl Suite 1 Schoharie, NY - 121575205 |
Business Phone Number: | 5182952031 |
Business Fax Number: | |
Mailing Address: | 113 Park Pl, Suite 1 SCHOHARIE |
State: | NY |
Postal Code: | 121575205 |
Phone Number: | 5182952031 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |