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Individual
MIHAIL MEDVEDOVSKY
Active
Individual
MIHAIL MEDVEDOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000081512
BETTER HEALTH
NY
05
—
01150765
—
NY
01
—
H4334459N
CIGNA MEDICARE, HMO
NY
01
—
KP285
OXFORD
NY
Enumeration date
06/24/2005
Last updated
12/10/2014
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