Healthcare Provider Details

I. General information

NPI: 1033859681
Provider Name (Legal Business Name): DANIELA MIKHAYLOV MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E STE 4J
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

10 UNION SQ E STE 4J
NEW YORK NY
10003-3314
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8800
  • Fax:
Mailing address:
  • Phone: 212-844-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number342433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: