Individual
RAVIL VALISHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
815 GRAVESEND NECK RD APT 4L, BROOKLYN, NY 11223-5507
(347) 465-0460
Mailing address
815 GRAVESEND NECK RD APT 4L, BROOKLYN, NY 11223-5507
(347) 465-0460
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
647116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647116
—
NY
Enumeration date
02/14/2022
Last updated
02/14/2022
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