Healthcare Provider Details

I. General information

NPI: 1487482691
Provider Name (Legal Business Name): ANR FAMILY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14128 72ND CRES
FLUSHING NY
11367-2330
US

IV. Provider business mailing address

6433 98TH ST APT 5D
REGO PARK NY
11374-3304
US

V. Phone/Fax

Practice location:
  • Phone: 646-919-1871
  • Fax:
Mailing address:
  • Phone: 646-919-1871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEX RAKHMINOV
Title or Position: OWNER
Credential: NP
Phone: 646-919-1871