| Izrael Polvanov, RN | |
|
3425 Vernon Blvd, Astoria, NY 11106-5121 | |
| (877) 889-0836 | |
| Not Available |
| Full Name | Izrael Polvanov |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 3425 Vernon Blvd, Astoria, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831824523 | NPI | - | NPPES |
| 265429654 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 770613 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Izrael Polvanov, RN 6837 Yellowstone Blvd Apt D42, Forest Hills, NY 11375-3413 Ph: (718) 541-0852 | Izrael Polvanov, RN 3425 Vernon Blvd, Astoria, NY 11106-5121 Ph: (877) 889-0836 |
Hae Young An, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1455 Broadway, Astoria, NY 11106 Phone: 347-206-5417 | |
Sylvia Lee Mercado, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1456 31st Dr Apt 8a, Astoria, NY 11106 Phone: 951-237-1015 | |
Ms. Tamicka Grant, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3811 Broadway, Astoria, NY 11103 Phone: 718-726-5953 | |
Czarinabelle Jaffery, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2524 47th St, Astoria, NY 11103 Phone: 718-828-2666 | |
Ms. Joanne Stalzer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3512 35th Ave, Astoria, NY 11106 Phone: 718-361-9920 | |
Yvette Pelaez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3135 Crescent St Apt 1r, Astoria, NY 11106 Phone: 718-395-0111 | |
Ms. Jomina Lelieze Galandeynes Gauuan, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1417 31st Ave, Apt 2a, Astoria, NY 11106 Phone: 818-397-1122 |