Individual
DR. VLADIMIR MUSHAILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6469
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267451
MA
207RN0300X
Nephrology Physician
Primary
316803
NY
Other
Enumeration date
06/04/2016
Last updated
06/07/2022
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