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Organization
GRIGORIY MASHKEVICH MD PC
Active
Organization
GRIGORIY MASHKEVICH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LAM (BILLING)
(914) 222-0828
Entity
Organization
Contact information
Practice address
925 PARK AVE, NEW YORK, NY 10028-0210
(212) 737-8700
Mailing address
PO BOX 2625, NEW YORK, NY 10009-8925
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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