Mikolaenko, Irina

Mikolaenko, Irina is an individual health care provider with primary practice located at 560 1St Ave , New York NY 10016-6402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is her primary health care specialty. Mikolaenko, Irina can be contacted via phone (212) 263-2269.

Contact Information

Primary practice address
560 1St Ave New York NY 10016-6402
Phone: (212) 263-2269
Fax: (212) 263-7916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 40998 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35088734 Ohio
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 248672 New York

Profile Details

NPI number 1245296607
LBN Legal business name Mikolaenko, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Sep 29th, 2016 - about 8 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 1245296607 NPPES
Ohio MEDICAID 2691298
Ohio Other 000000224455
Ohio Other 000000528774
Ohio Other 363842
Ohio Other 744994
Ohio Other P00426302
Ohio Other 0127464
Ohio Other 7301634

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