Basic Information
| Provider Information | |||||||||
| NPI: | 1821269085 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | IMPORTANT STEPS MEDICAL P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9951 65TH AVE | ||||||||
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| City: | REGO PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113743652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469326896 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6260 108TH ST STE 1J | ||||||||
| Address2: | |||||||||
| City: | FOREST HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113751301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182752224 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2008 | ||||||||
| LastUpdateDate: | 03/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | MIKHAYLOV | ||||||||
| AuthorizedOfficialFirstName: | LARISA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 6469326896 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.