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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 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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