Pavel Shchegol
Registered Nurse, Psych/Mental Health in Rego Park, NY. Individual provider (NPI-1).
NPI number1457724809
StatusActive
Last updated in NPPESNov 6, 2015
Details
- NPI
- 1457724809
- Entity type
- Individual (NPI-1)
- Name
- Pavel Shchegol
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2015
- Last updated
- Nov 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 571217 | NY | Yes |
Practice location
9520 63rd RdSuite O
Rego Park, NY 11374-1160
Phone 347-813-4143 · Fax 347-813-4146
Mailing address
9520 63rd RdSuite O
Rego Park, NY 11374-1160
Phone 347-813-4143 · Fax 347-813-4146
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