Mia Ivancovich
Mia Ivancovich is an Addiction (Substance Use Disorder) Registered Nurse in Brentwood, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
452 Suffolk AveBrentwood, NY 11717-4214
Phone: (631) 436-6065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 813227-01 (NY) |
|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | Taxonomy 163WA0400X · Licence 813227-01 (NY) |
Record details
| NPI number | 1487467957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2025 |
| Last updated in NPPES | January 29, 2025 |
| Certification date | January 29, 2025 |
| Mailing address | 67 Millay Ln, Bay Shore, NY 11706-4329 |
Other providers in Brentwood
-
Amy Altobelli, RN
998 Crooked Hill Rd, Brentwood, NY 11717-1019 · (631) 521-8400
-
Zita Dinda
998 Crooked Hill Rd, Brentwood, NY 11717-1019 · (631) 521-8400
-
Sumaira Mahmood
400 Crooked Hill Rd, Brentwood, NY 11717-1039 · (631) 231-3232
-
Alexandra Mason, RN
998 Crooked Hill Rd Bldg 5, Brentwood, NY 11717-1019 · (631) 521-8400
-
Ingrid Samuel, RN
998 Crooked Hill Rd Bldg 5, Brentwood, NY 11717-1019 · (631) 521-8400