Individual
DR. MIKHAIL DOUBROVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
630 W 168TH ST DEPT OF, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
250091
NY
207UN0902X
Nuclear Imaging & Therapy Physician
250091
NY
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
250091
NY
208000000X
Pediatrics Physician
250091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013763
—
NY
Enumeration date
05/23/2008
Last updated
03/23/2020
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