Provider Demographics
NPI:1861778409
Name:CHAVIV, TOVA (TOV CHAVIV)
Entity type:Individual
Prefix:MS
First Name:TOVA
Middle Name:
Last Name:CHAVIV
Suffix:
Gender:F
Credentials:TOV CHAVIV
Other - Prefix:
Other - First Name:TOV
Other - Middle Name:
Other - Last Name:CHAVIV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TOV CHAVIV
Mailing Address - Street 1:27110 GRAND CENTRAL PKWY
Mailing Address - Street 2:4G
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11005-1245
Mailing Address - Country:US
Mailing Address - Phone:812-630-2460
Mailing Address - Fax:
Practice Address - Street 1:27110 GRAND CENTRAL PKWY
Practice Address - Street 2:4G
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11005-1245
Practice Address - Country:US
Practice Address - Phone:812-630-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY556106-1163WD0400X
NYF337015-1163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator