Provider Demographics
NPI:1144587197
Name:ANGELINA MIHU MD PC
Entity Type:Organization
Organization Name:ANGELINA MIHU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NURKIA
Authorized Official - Middle Name:ANGELINA
Authorized Official - Last Name:MIHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-804-8041
Mailing Address - Street 1:4701 QUEENS BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1660
Mailing Address - Country:US
Mailing Address - Phone:718-784-1400
Mailing Address - Fax:
Practice Address - Street 1:4701 QUEENS BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1660
Practice Address - Country:US
Practice Address - Phone:718-784-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2596392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1891994406OtherNPI