Individual provider · Type 1 NPI
Inna Revutsky
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1639635766
Active
Practice location
356 W 18th St
New York, NY 10011-4401
Mailing address
356 W 18th St
Cranford, NJ 07016-3412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | 25MZ00135600 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F40378301 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639635766
Inna Revutsky's National Provider Identifier is 1639635766, issued on Feb 13, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Mar 19, 2025.