Mashkevich, Grigoriy

Mashkevich, Grigoriy is an individual health care provider with primary practice located at 10812 72Nd Ave Ste 3 , Forest Hills NY 11375-7080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Mashkevich, Grigoriy can be contacted via phone (718) 544-9300.

Contact Information

Primary practice address
10812 72Nd Ave Ste 3 Forest Hills NY 11375-7080
Phone: (718) 544-9300
Fax: (718) 544-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A98950 California
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 236999 New York

Profile Details

NPI number 1346398690
LBN Legal business name Mashkevich, Grigoriy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 12th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346398690 NPPES
California Other 00A989500 MEDI-CAL PPIN#

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