ROUSLANA REVITSKAIA

MINEOLA, NY
NPI1376820621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F305810-1)
Enumeration Date2011-11-14
Last Update Date2011-11-14
Business Address
-- ROUSLANA REVITSKAIA ANP - BC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
Mailing Address
-- ROUSLANA REVITSKAIA ANP - BC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number:
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