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NPI Code Detail

MEDICARE: RELIEF LEAF NP FAMILY HEALTH PC

MEDICARE: RELIEF LEAF NP FAMILY HEALTH PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1881288421
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIEF LEAF NP FAMILY HEALTH PC
Provider Business Mailing Address
First Line : 14128 72ND CRES
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2330
Country : US
Telephone Number : 646-919-1871
Fax Number : 575-209-2717
Provider Business Practice Location Address
First Line : 14128 72ND CRES
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2330
Country : US
Telephone Number : 646-919-1871
Fax Number : 575-209-2717
Authorized Official
Title or Position : OWNER
Name : ALEX RAKHMINOV
Credential :
Telephone Number : 646-919-1871
Provider Enumeration Date : 02/24/2021
Last Update Date : 03/25/2026

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Directions to “RELIEF LEAF NP FAMILY HEALTH PC ” Practice Location

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