Individual provider · Type 1 NPI
Sandra Ivanov, DO
Student in an Organized Health Care Education/Training Program · Mount Kisco, NY
NPI number
1649074758
Active
Practice location
Northern Westchester Hospital 400 E. Main St
Mount Kisco, NY 10549
Other practice locations
- 480 Bedford Rd, Chappaqua, NY 10514-1715 · (914) 458-8730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1649074758
Sandra Ivanov, DO's National Provider Identifier is 1649074758, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Kisco, NY. The record was last updated on Jul 7, 2025.