Individual
MRS. IRYNA IVANOVNA RAHALEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32 OAKWOOD DR, SHIRLEY, NY 11967-3841
(631) 681-8133
Mailing address
32 OAKWOOD DRIVE, SHIRLEY, NY 11967-3841
(631) 681-8133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648082
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311261-01
NY
Other
Enumeration date
09/23/2011
Last updated
12/07/2024
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