Individual provider · Type 1 NPI
Vitaliy Gavrylyuk, NP
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1639635790
Active
Practice location
3209 Coney Island Ave
Brooklyn, NY 11235-7072
Mailing address
1516 Hewlett Heath Rd
Hewlett, NY 11557-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 309058 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309058 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1639635790
Vitaliy Gavrylyuk, NP's National Provider Identifier is 1639635790, issued on Feb 13, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 13, 2019.