DR. Reuven Polvanov
NPI #1619704111 in Richmond Hill, New York
Provider Information
- NPI Number
- 1619704111
- Entity Type
- Individual
- Name
- DR. Reuven Polvanov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 18, 2024
- Last Updated
- Jul 29, 2025
Practice Location
- Address
- 10823 JAMAICA AVE
- City
- Richmond Hill
- State
- New York
- ZIP Code
- 11418-2243
- Phone
- (718) 954-9601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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