Provider Demographics
NPI:1861804635
Name:OVITS, TOVA (CLC)
Entity type:Individual
Prefix:
First Name:TOVA
Middle Name:
Last Name:OVITS
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4735
Mailing Address - Country:US
Mailing Address - Phone:718-974-1647
Mailing Address - Fax:718-252-5660
Practice Address - Street 1:1114 E 32ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4735
Practice Address - Country:US
Practice Address - Phone:718-974-1647
Practice Address - Fax:718-252-5660
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYALPP 201933174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN