REVENSON SERVILIUS

Licensed Practical Nurse

NPI: 1689063604Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

321208(NY)

Contact & Hours

Address: 229 GARDEN ST
WESTBURY, NY 11590
Phone: (516) 849-8700

Quick Facts

NPI: 1689063604
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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