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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILYAS LIVENTSOV, ACNPC-AG

Active

ILYAS LIVENTSOV, ACNPC-AG is a Acute Care Nurse Practitioner healthcare provider located in SYRACUSE, New York. NPI 1760153985 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · SYRACUSE, NY

Registration Details

NPI Number
1760153985
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2021 (4.8479349461694 yrs)
Last Updated
Sep 27, 2021
Licenses
432158 (NY)
F432158 (NY)

Practice Information

Address
750 E ADAMS ST
SYRACUSE, NY, 132102306
Browse NY providers · Browse ZIP 13210
Phone
3154645540
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in SYRACUSE, NY

Name Credential NPI
PATRICIA L LIPPINCOTT KNOX FNP 1992712459
MRS. THERESA MARY HUMEZ FNP 1477684538
MRS. SUSAN FELTER I NP 1922132158
MS. KOLLEEN MARIAN FULLER RNNP 1952421059
MRS. ERIKA L FEDORS APN 1609160811
MS. OLIVIA KING N.P. 1184978256
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.