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NPI Code Detail

MEDICARE: DR. DORA S PINKHASOVA MD

MEDICARE: DR. DORA S PINKHASOVA MD
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
12084N0400XNeurology Physician230588NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013997279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORA S PINKHASOVA MD
Provider Business Mailing Address
First Line : 9785 QUEENS BLVD
Second Line :
City : REGO PARK
State : NY
Zip : 11374-3319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9785 QUEENS BLVD
Second Line :
City : REGO PARK
State : NY
Zip : 11374-3319
Country : US
Telephone Number : 718-261-9100
Fax Number : 718-261-6483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2006
Last Update Date : 03/17/2021

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Directions to “ DR. DORA S PINKHASOVA MD” Practice Location

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