Basic Information
Provider Information
NPI: 1700861440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COVEN
FirstName: BARBARA
MiddleName: JANE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 210 WESTCHESTER AVE
Address2: 3RD FLOOR
City: WHITE PLAINS
State: NY
PostalCode: 106042901
CountryCode: US
TelephoneNumber: 9146813146
FaxNumber: 9146826403
Practice Location
Address1: 210 WESTCHESTER AVE
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106042901
CountryCode: US
TelephoneNumber: 9146820731
FaxNumber: 9146826403
Other Information
ProviderEnumerationDate: 12/14/2005
LastUpdateDate: 10/16/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X190123-1NYY Allopathic & Osteopathic PhysiciansPediatrics 
208000000X038571CTN Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
00000004587401NYGHI HMOOTHER
50944101NYPHCSOTHER
13388416801NYEMPIRE STATE PLAN (NYS)OTHER
269877501NYGHI PPOOTHER
9180048-00301NYCIGNAOTHER
13388416801NYBEECH STREETOTHER
69H96101NYBLUE CROSS ALL PLANSOTHER
213599401NYAETNA HMOOTHER
19012301NYCONNECTICAREOTHER
547271301NYAETNA NON HMOOTHER
P111143601NYOXFORDOTHER
OD148401NYHEALTH NETOTHER
13388416801NYPOMCOOTHER
19012301NYHIPOTHER
37001578101NYRAILROAD MEDICAREOTHER
0194360404605NY MEDICAID
13388416801NYMULTIPLANOTHER
188481101NYUNITED HEALTH CAREOTHER


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