Individual
MIKHAIL ZUSMANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 FLEETS POINT DR STE 1, WEST BABYLON, NY 11704-8314
(631) 689-6698
Mailing address
30 WATERSIDE PLZ APT 32G, NEW YORK, NY 10010-2627
(925) 963-9412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
308433
NY
207X00000X
Orthopaedic Surgery Physician
A167767
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
308433
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
07/29/2025
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