1265862486

Everything you always wanted to know about CARDIOVASCULAR WELLNESS MEDICAL MS. MIRSAKOV NINA but were afraid to ask.

CARDIOVASCULAR WELLNESS MEDICAL MS. MIRSAKOV NINA

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
CARDIOVASCULAR WELLNESS MEDICAL MS. MIRSAKOV NINA
Gender:
none
Enumeration date:
2013-11-25
Last update date:
2013-11-25
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
A300050638 Medicare PIN none NY

Taxonomies

Taxonomy State License Number Primary?
207RC0000X Cardiovascular Disease NY 244792 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 7186456434
Practice Location Address Telephone Number 7186456434
Authorized Official Telephone Number 9175384132
Mailing Address Fax Number 7183602279
Practice Location Address Fax Number 7183602279

Addresses

Type Address City State Postal Country
Mailing Address 2606 HARING ST FL 2 BROOKLYN NY 11235 NY
Practice Location Address 2606 HARING ST FL 2 BROOKLYN NY 11235 NY

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