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Organization

LEFRAK CITY FAMILY CARE,PC

Active
Other names
dr.izolda mikhaylov
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IZOLDA MIKHAYLOV DO (MEDICAL DIRECTOR)
(718) 469-0890
Entity
Organization

Contact information

Practice address
9815 HORACE HARDING EXPY, CORONA, NY 11368-4249
(718) 699-8500
Mailing address
785 VAN DAM ST, VALLEY STREAM, NY 11581-3523
(718) 469-0890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223885
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02313197
NY
Enumeration date
07/21/2006
Last updated
08/22/2020
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