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Organization
MIHAIL MEDVEDOVSKY PHYSICIAN PC
Active
Organization
MIHAIL MEDVEDOVSKY PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIHAIL MEDVEDOVSKY MD (PRESIDENT)
(718) 946-9070
Entity
Organization
Contact information
Practice address
3039 OCEAN PKWY, BROOKLYN, NY 11235-8370
(718) 946-9070
Mailing address
3039 OCEAN PKWY, BROOKLYN, NY 11235-8370
(718) 946-9070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02156169
—
NY
Enumeration date
09/11/2006
Last updated
06/25/2008
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