RUSSELL MIRAVITE, RN

Registered Nurse - Psychiatric/Mental Health, Adult

Active Individual
NPI: 1336610286

Practice Address

7925 WINCHESTER BLVD
Queens Village, NY 11427

Phone: (718) 264-5619

Specialties

Specialty Code Primary License
Registered Nurse - Psychiatric/Mental Health, Adult 163WP0809X Yes 752463 (NY)

Frequently Asked Questions

NPI 1336610286 is the National Provider Identifier for RUSSELL MIRAVITE, RN, a Registered Nurse - Psychiatric/Mental Health, Adult provider located in Queens Village, NY. This NPI was enumerated on December 17, 2018.
RUSSELL MIRAVITE, RN practices at 7925 WINCHESTER BLVD, Queens Village, NY 11427.

Quick Facts

NPI
1336610286
Type
Individual
Enumerated
Dec 17, 2018
Last Updated
Dec 17, 2018

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