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NPI Code Detail

MEDICARE: MIDLAND NP IN FAMILY HEALTH PLLC

MEDICARE: MIDLAND NP IN FAMILY HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1265387294
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDLAND NP IN FAMILY HEALTH PLLC
Provider Business Mailing Address
First Line : 8405 MIDLAND PKWY
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8405 MIDLAND PKWY
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2218
Country : US
Telephone Number : 646-399-2020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RADMILA SAMANDAROVA
Credential : FNP
Telephone Number : 646-399-2020
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “MIDLAND NP IN FAMILY HEALTH PLLC ” Practice Location

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