Individual provider · Type 1 NPI

Revital Yagudayev

Specialist · Forest Hills, NY

NPI number 1639951973 Active

Practice location

10245 62nd Rd Apt 5U
Forest Hills, NY 11375-1027

Call (347) 596-3469 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1639951973

Revital Yagudayev's National Provider Identifier is 1639951973, issued on Oct 20, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Oct 20, 2023.