Dourmashkin, Michael Ralph

Dourmashkin, Michael Ralph is an individual health care provider with primary practice located at 532 Broadhollow Rd , Melville NY 11747-3672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dourmashkin, Michael Ralph can be contacted via phone (516) 931-0041.

Contact Information

Primary practice address
532 Broadhollow Rd Melville NY 11747-3672
Phone: (516) 931-0041
Fax: (516) 822-1686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 151947 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 51668 New Jersey

Profile Details

NPI number 1336134139
LBN Legal business name Dourmashkin, Michael Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2005
Last updated Apr 20th, 2011 - about 15 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 1336134139 NPPES
New York MEDICAID 01093425

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