Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revenson Servilius

Individual provider Licensed Practical Nurse · NPI 1689063604

Revenson Servilius is a Licensed Practical Nurse in Westbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

229 Garden St
Westbury, NY 11590
Phone: (516) 849-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 321208 (NY)

Record details

NPI number1689063604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2015
Last updated in NPPESMay 8, 2015
Mailing address229 Garden St, Westbury, NY 11590-3840

Other providers in Westbury