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Stella Polvanova

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

529 Beach 20th St
Far Rockaway , New York 11691-3645

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Stella Polvanova

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

529 Beach 20th St
Far Rockaway , New York 11691-3645

(718) 327-3294

Write a Review Save Call

Stella Polvanova

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

529 Beach 20th St
Far Rockaway , New York 11691-3645

(718) 327-3294 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Adult Health
  • Nurse Practitioner - Gerontology

Languages spoken

  • English

Location

529 Beach 20th St Far Rockaway , New York 11691-3645

First Address

  • Stella Polvanova
  • 529 Beach 20th St
  • Far Rockaway, NY
  • Zip : 11691-3645
  • Fax : (718) 327-3294
  • Phone : (718) 327-7307

Second Address

  • Stella Polvanova
  • 529 Beach 20th St
  • Far Rockaway, NY
  • Zip : 11691-3645
  • Fax : (718) 327-3294
  • Phone : (718) 327-7307

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FAQs


Where did Stella Polvanova attend graduate school?

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Where did Stella Polvanova do her residency?

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Where did Stella Polvanova do her fellowship?

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Is Stella Polvanova board certified?

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What type of doctor is Stella Polvanova

Nurse Practitioner - Adult Health

In what state does Stella Polvanova practice in?

New York

Where is Stella Polvanova ’s practice located?

529 Beach 20th St , Far Rockaway, New York, 11691-3645

What is Stella Polvanova ’s gender?

Female

Is Stella Polvanova a sole practitioner?

No

Is Stella Polvanova accepting new patients?

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What languages does Stella Polvanova speak?

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Does Stella Polvanova accept insurance?

Yes, Stella Polvanova accepts insurance

Does Stella Polvanova offers telemedicine?

Stella Polvanova has not indicated if she offers telemedicine

What is Stella Polvanova ’s professional license number?

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What is Stella Polvanova ’s NPI number?

1013201557

Does Stella Polvanova have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LA2200X Nurse Practitioner - Adult Health F305534-1 NY
N 363LG0600X Nurse Practitioner - Gerontology F340789-1 NY

National Provider Identifier

NPI 1013201557
Provider Name Stella Polvanova
First Address Far Rockaway, NY 11691-3645
Second Address Far Rockaway, NY 11691-3645
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/06/2011
Last Update Date 01/06/2011

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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