Mikhail, Marian

Mikhail, Marian is an individual health care provider with primary practice located at 500 Todt Hill Rd , Staten Island NY 10304-1326. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mikhail, Marian can be contacted via phone (330) 550-0258.

Contact Information

Primary practice address
500 Todt Hill Rd Staten Island NY 10304-1326
Phone: (330) 550-0258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00944500 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 010409 New York

Profile Details

NPI number 1265157911
LBN Legal business name Mikhail, Marian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2022
Last updated Jul 16th, 2024 - about 2 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 1265157911 NPPES
New York MEDICAID JLJ727526469

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