Individual
MICHAEL RALPH DOURMASHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
532 BROADHOLLOW RD, MELVILLE, NY 11747-3672
(516) 931-0041
(516) 822-1686
Mailing address
4230 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5700
(516) 796-2222
(516) 796-2303
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
151947
NY
208800000X
Urology Physician
51668
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093425
—
NY
Enumeration date
09/17/2005
Last updated
04/20/2011
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