Individual
ANAR MIKAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 S CLINTON AVE, ROCHESTER, NY 14618-2618
(585) 256-0555
(585) 256-0583
Mailing address
2150 S CLINTON AVE, ROCHESTER, NY 14618-2618
(585) 256-0555
(585) 256-0583
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
226434
MA
207N00000X
Dermatology Physician
252998
MA
207N00000X
Dermatology Physician
Primary
313757
NY
390200000X
Student in an Organized Health Care Education/Training Program
252998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06875396
—
NY
Enumeration date
06/14/2012
Last updated
05/07/2024
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