Dr. Reuven Polvanov
Pharmacist in Richmond Hill, NY. Individual provider (NPI-1).
NPI number1619704111
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1619704111
- Entity type
- Individual (NPI-1)
- Name
- Dr. Reuven Polvanov
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 071949 | NY | Yes |
Practice location
10823 Jamaica AveRichmond Hill, NY 11418-2243
Phone 718-954-9601 · Fax 718-954-9603
Mailing address
10823 Jamaica AveRichmond Hill, NY 11418-2243
Phone 718-954-9601 · Fax 718-954-9603
Other practice locations
10205 Jamaica Ave
Richmond Hill, NY 11418-2006
Richmond Hill, NY 11418-2006
Phone 718-441-4693
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