Search › New York › 163W00000X
Izrael Polvanov, RN
NPI 1831824523 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3425 Vernon Blvd
Astoria, NY 11106 - Phone
- (877) 889-0836
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-18
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