Individual provider · Type 1 NPI
Izrael Polvanov, RN
Registered Nurse · Astoria, NY
Practice location
3425 Vernon Blvd
Astoria, NY 11106-5121
Mailing address
6837 Yellowstone Blvd Apt D42
Forest Hills, NY 11375-3413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 770613 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1831824523
Izrael Polvanov, RN's National Provider Identifier is 1831824523, issued on Jul 18, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Astoria, NY. The record was last updated on Jul 18, 2022.