Healthcare Provider Details

I. General information

NPI: 1881288421
Provider Name (Legal Business Name): RELIEF LEAF NP FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14128 72ND CRES
FLUSHING NY
11367-2330
US

IV. Provider business mailing address

14128 72ND CRES
FLUSHING NY
11367-2330
US

V. Phone/Fax

Practice location:
  • Phone: 646-919-1871
  • Fax: 575-209-2717
Mailing address:
  • Phone: 646-919-1871
  • Fax: 575-209-2717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEX RAKHMINOV
Title or Position: OWNER
Credential:
Phone: 646-919-1871