VITALIY GAVRYLYUK NP NPI 1639635790

NPI Information

NPI: 1639635790
Provider Name: VITALIY GAVRYLYUK, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3209 CONEY ISLAND AVE
BROOKLYN, NY
ZIP 11235
Phone: (718) 265-0005
Get Directions

Vitaliy Gavrylyuk, NP is an adult health nurse practitioner in Brooklyn, NY with 5 years of experience. Vitaliy Gavrylyuk, NP NPI is 1639635790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3209 CONEY ISLAND AVE
BROOKLYN, NY
ZIP 11235-072
Phone: (718) 265-0005

The NPI 1639635790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 2/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	309058	NEW YORK	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	309058	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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