Individual
INNA REVUTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, CRANFORD, NJ 07016-3412
(212) 271-7200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00135600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F40378301
NY
Other
Enumeration date
02/13/2019
Last updated
03/19/2025
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