Provider Demographics
NPI:1487418083
Name:NP IN FAMILY HEALTH CARE PC
Entity type:Organization
Organization Name:NP IN FAMILY HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIUBOV
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAK
Authorized Official - Suffix:
Authorized Official - Credentials:SNP
Authorized Official - Phone:718-690-4495
Mailing Address - Street 1:168 GELDNER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306
Mailing Address - Country:US
Mailing Address - Phone:347-221-9900
Mailing Address - Fax:
Practice Address - Street 1:168 GELDNER AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306
Practice Address - Country:US
Practice Address - Phone:347-221-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty