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Revenson Servilius
NPI 1689063604 · on the registry since 2015 · sole proprietor
Practice
- Address
- 229 Garden St
Westbury, NY 11590 - Phone
- (516) 849-8700
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York