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Individual

ARKADY MIGDALOVICH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
8712 4TH AVE, BROOKLYN, NY 11209-5110
(718) 680-1600
(718) 680-4473
Mailing address
90 RIDGE AVE, STATEN ISLAND, NY 10304-1421
(917) 597-2172
(718) 980-3619

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
017757
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000160820201
HEALTH PLUS
NY
01
017757
HIP
NY
05
02019583
NY
01
11-3552139
MULTIPLAN
NY
01
6699137
GHI
NY
01
N84089
HEALTH NET
NY
01
QB6251
EMPIRE BC/BS
NY
Enumeration date
04/12/2006
Last updated
09/12/2016
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