Healthcare Provider Details

I. General information

NPI: 1659906667
Provider Name (Legal Business Name): MEDICAL CARE FOR YOU PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 164TH ST
FRESH MEADOWS NY
11365-3162
US

IV. Provider business mailing address

18036 80TH DR
JAMAICA NY
11432-1532
US

V. Phone/Fax

Practice location:
  • Phone: 718-961-5060
  • Fax: 718-504-4445
Mailing address:
  • Phone: 718-961-5060
  • Fax: 718-504-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MIKHAIL PINKHASOV
Title or Position: MD
Credential: MD
Phone: 718-313-0438