Mikhaylov, Izolda
Mikhaylov, Izolda is an individual health care provider with primary practice located at 9815 Horace Harding Expy , Corona NY 11368-4249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mikhaylov, Izolda can be contacted via phone (718) 699-8500.Contact Information
Primary practice address
9815 Horace Harding Expy
Corona NY 11368-4249
Phone: (718) 699-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 223885 | New York |
Profile Details
| NPI number | 1093734055 |
|---|---|
| LBN Legal business name | Mikhaylov, Izolda |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1093734055 | NPPES |
| New York | MEDICAID | 02313197 |
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