Healthcare Provider Details

I. General information

NPI: 1891703237
Provider Name (Legal Business Name): NEW MILLENNIUM HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6803 MAYFIELD RD STE 409
MAYFIELD HTS OH
44124-2214
US

IV. Provider business mailing address

6803 MAYFIELD RD STE 409
MAYFIELD HTS OH
44124-2214
US

V. Phone/Fax

Practice location:
  • Phone: 440-946-4662
  • Fax:
Mailing address:
  • Phone: 440-946-4662
  • Fax: 440-683-1882

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 Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. INNA KRASNYANSKY
Title or Position: INTERNAL MEDICINE DOCTOR/TIN OWNER
Credential: MD
Phone: 440-946-4662