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REVENSON SERVILIUS
NPI 1689063604
Licensed Practical Nurse in Westbury, NY

Active since January 14, 2015
229 GARDEN ST, WESTBURY, NY 11590(516) 849-8700 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revenson Servilius NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVENSON SERVILIUS (NPI 1689063604) is an individual licensed practical nurse in Westbury, New York, licensed in New York (321208) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1689063604
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameREVENSON SERVILIUS
Location Address229 GARDEN STWestbury, NY 11590
Mailing Address229 Garden StWestbury, NY 11590-3840 · (516) 849-8700
Phone(516) 849-8700
Sole ProprietorYes
Enumeration DateJanuary 14, 2015
Last NPPES UpdateMay 8, 2015
✔ NPI 1689063604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 321208
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
229 GARDEN ST, Westbury, NY 11590
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revenson Servilius's NPI number?

The NPI number for Revenson Servilius is 1689063604. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Revenson Servilius located?

Revenson Servilius practices at 229 Garden St, Westbury, NY 11590. The listed phone number is (516) 849-8700.

What is Revenson Servilius's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Revenson Servilius was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.