Doubrovin, Mikhail
Doubrovin, Mikhail is an sole proprietor health care provider with primary practice located at 630 W 168Th St Dept Of , New York NY 10032-3725. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Doubrovin, Mikhail can be contacted via phone (212) 305-1948.Contact Information
Primary practice address
630 W 168Th St Dept Of
New York NY 10032-3725
Phone: (212) 305-1948
Fax: (212) 305-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 250091 | New York |
| Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine | 207UN0903X | 250091 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 250091 | New York |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 250091 | New York |
Profile Details
| NPI number | 1801054119 |
|---|---|
| LBN Legal business name | Doubrovin, Mikhail |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2008 |
| Last updated | Mar 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801054119 | NPPES |
| New York | MEDICAID | Q013763 |
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