Individual
RYAN PAVKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 NEW SCOTLAND AVE, CREDENTIALING CENTER, ALBANY, NY 12208-3412
(518) 262-8788
(518) 262-8328
Mailing address
1519 TREYBROOKE CIR, GREENVILLE, NC 27834-9147
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
696876
NY
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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