Inna Revutsky, is a
Nurse Practitioner - Psychiatric/mental Health based in Bronx, New York. Inna Revutsky is licensed to practice in New York (license number F40378301) and her current practice location is
326 E 149th St, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 306-3223.
NPI number for Inna Revutsky is 1639635766 and her current mailing address is 24 Mendell Ave, Cranford, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639635766.
Healthcare Provider's Profile
Full Name | Inna Revutsky |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 326 E 149th St, Bronx, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639635766
- Provider Enumeration Date: 02/13/2019
- Last Update Date: 02/02/2022
Medical Identifiers
Medical identifiers for Inna Revutsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639635766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 25MZ00135600 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F40378301 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Inna Revutsky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Inna Revutsky, 24 Mendell Ave, Cranford, NJ 07016-3412 Ph: (191) 730-6322 | Inna Revutsky, 326 E 149th St, Bronx, NY 10451-5602 Ph: (917) 306-3223 |
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