Individual provider · Type 1 NPI

Ravital Mullokandova

Specialist · Rego Park, NY

NPI number 1013874007 Active

Practice location

9805 63rd Rd Apt 9H
Rego Park, NY 11374-1721

Call (929) 392-6672 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1989844261 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013874007

Ravital Mullokandova's National Provider Identifier is 1013874007, issued on Jan 9, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Jan 9, 2026.