Medvedovsky, Mihail

Medvedovsky, Mihail is an sole proprietor health care provider with primary practice located at 3039 Ocean Pkwy , Brooklyn NY 11235-8370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Medvedovsky, Mihail can be contacted via phone (718) 946-9070.

Contact Information

Primary practice address
3039 Ocean Pkwy Brooklyn NY 11235-8370
Phone: (718) 946-9070
Fax: (718) 946-6375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 180598 New York

Profile Details

NPI number 1962408880
LBN Legal business name Medvedovsky, Mihail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Dec 10th, 2014 - about 12 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 1962408880 NPPES
New York Other KP285 OXFORD
New York Other H4334459N OXFORD
New York Other 00000081512 OXFORD
New York MEDICAID 01150765 OXFORD

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