Individual provider · Type 1 NPI

Serguei Jouravlev, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1699256339 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-8379 Map

Mailing address

61 Roslyn Dr
Glen Head, NY 11545-1733

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X022472 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1699256339

Serguei Jouravlev, PA-C's National Provider Identifier is 1699256339, issued on Aug 21, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Aug 21, 2018.