Ivan Mikolaenko in Rockville Centre - Neurology

Ivan Mikolaenko - NPI 1023231883

Ivan Mikolaenko is a Neurology in Rockville Centre, New York. Ivan Mikolaenko practices all healthcare services and medical treatments related to Neurology. The NPI Number for Ivan Mikolaenko is 1023231883. The last update date is 2012-04-05.

Ivan Mikolaenko's current location address is 100 Merrick Rd Ste 128, Rockville Centre, New York. You can contact this provider via phone number 5162559031 and fax number 5167662306. The mailing address for Ivan Mikolaenko is 100 Merrick Rd Ste 128, Rockville Centre, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivan Mikolaenko
Address 100 Merrick Rd Ste 128, Rockville Centre, New York
Phone Number 5162559031
Fax Number 5167662306
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023231883
Provider Enumeration Date 2007-04-10
Last Updated Date 2012-04-05

Provider Mailing Address Detail

Address 100 Merrick Rd Ste 128
City Rockville Centre
State New York (NY)
Post Code 115704821
Phone Number 5162559031
Fax Number 5167662306

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 116020711
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1023231883 VA --

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FAQs about Ivan Mikolaenko

What is the Ivan Mikolaenko's 1023231883?

The Ivan Mikolaenko's NPI (National Provider Identifier) Number is 1023231883. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ivan Mikolaenko located?

The Ivan Mikolaenko is located at 100 Merrick Rd Ste 128, Rockville Centre, NY 115704821.

What is Ivan Mikolaenko's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ivan Mikolaenko is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.

On what date did the Ivan Mikolaenko receive its 1023231883 assignment from the Centers for Medicare & Medicaid Services?

The Ivan Mikolaenko was assigned its 1023231883 by the Centers for Medicare & Medicaid Services on 2007-04-10.

When was the Ivan Mikolaenko's information last updated?

The Ivan Mikolaenko's information was last updated on 2012-04-05.

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