IZRAEL POLVANOV RN
NPI 1831824523
Registered Nurse in Astoria, NY

Active since July 18, 2022
3425 VERNON BLVD, ASTORIA, NY 11106(877) 889-0836 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Izrael Polvanov Rn NPPES

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

IZRAEL POLVANOV RN (NPI 1831824523) is an individual registered nurse in Astoria, New York, licensed in New York (770613) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1831824523
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameIZRAEL POLVANOVCredential: RN
Location Address3425 VERNON BLVDAstoria, NY 11106-5121
Mailing Address6837 Yellowstone Blvd Apt D42Forest Hills, NY 11375-3413 · (718) 541-0852
Sole ProprietorYes
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
NPI 1831824523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 770613
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

3425 VERNON BLVD, Astoria, NY 11106

Other Identifiers 1

Medicaid265429654NY

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Nurse Practitioner (Adult Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Social Worker
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Counselor (Mental Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Social Worker
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Counselor (Addiction (Substance Use Disorder))
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Counselor (Addiction (Substance Use Disorder))
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Nurse Practitioner (Psychiatric/Mental Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106

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 Izrael Polvanov's NPI number?

The NPI number for Izrael Polvanov is 1831824523. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Izrael Polvanov located?

Izrael Polvanov practices at 3425 Vernon Blvd, Astoria, NY 11106. The listed phone number is (877) 889-0836.

What is Izrael Polvanov's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Izrael Polvanov was last updated on July 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.