Yaroslav Spivak, R.N.
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982156469
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1982156469
- Entity type
- Individual (NPI-1)
- Name
- Mr. Yaroslav Spivak
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2016
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 665283-1 | NY | Yes |
Practice location
2116 84th StBrooklyn, NY 11214-2502
Phone 646-309-7151
Mailing address
2116 84th StBrooklyn, NY 11214-2502
Phone 646-309-7151
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