MEDICARE: ANR FAMILY MEDICINE INC

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
1	261Q00000X	Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1487482691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANR FAMILY MEDICINE INC

Provider Business Mailing Address
First Line	:	6433 98TH ST APT 5D
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-3304
Country	:	US
Telephone Number	:	646-919-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	14128 72ND CRES
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2330
Country	:	US
Telephone Number	:	646-919-1871
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEX RAKHMINOV
Credential	:	NP
Telephone Number	:	646-919-1871

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	03/18/2026

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