Organization
IM PRIMARY MEDICAL CARE , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA MIKHEYEVA D.O. (OWNER)
(718) 485-5500
Entity
Organization
Contact information
Practice address
900 LENOX RD, SUITE 1, BROOKLYN, NY 11203-2603
(718) 485-5500
Mailing address
900 LENOX RD, SUITE 1, BROOKLYN, NY 11203-2603
(718) 485-5500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
254486
NY
207VG0400X
Gynecology Physician
254486
NY
207VX0000X
Obstetrics Physician
254486
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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