Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK J IVANICK, MD
ActiveDR. MARK J IVANICK, MD is a Pulmonary Disease healthcare provider located in ELMIRA, New York. NPI 1629065198 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · ELMIRA, NY
Registration Details
- NPI Number
- 1629065198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (20.728352280932 yrs)
- Last Updated
- Nov 25, 2020
- Licenses
-
139254 (NY)NY139254-1 (NY)
Practice Information
- Address
-
600 ROE AVENUESUITE 4AELMIRA, NY, 149051629Browse NY providers · Browse ZIP 14905
- Phone
- 6072713780
- Fax
- 6072713894
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Pulmonary Disease
Other Pulmonary Disease Providers in ELMIRA, NY
| Name | Credential | NPI |
|---|---|---|
| EARL P ROBINSON JR. | MD | 1992792238 |
| GREGORY M LOEWEN | DO | 1306836499 |
| DR. ASAD NASIR | MD | 1346446721 |
| AIDIN IRAVANI | M.D. | 1639405129 |
| MICHELLE LYNNE MALNOSKE | M.D. | 1376832444 |
| ALEKSANDR KALININSKIY | MD | 1750776787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.