Shpak, Mikhail M.

Shpak, Mikhail M. is an sole proprietor health care provider with primary practice located at 2064 Cropsey Ave , Brooklyn NY 11214-6253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shpak, Mikhail M. can be contacted via phone (718) 975-8765.

Contact Information

Primary practice address
2064 Cropsey Ave Brooklyn NY 11214-6253
Phone: (718) 975-8765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 231226 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 231226 New York

Profile Details

NPI number 1639145659
LBN Legal business name Shpak, Mikhail M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1639145659 NPPES
New York MEDICAID 02610608

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