Provider Demographics
NPI:1437270725
Name:ZALMANOV, MIKHAIL
Entity Type:Individual
Prefix:DR
First Name:MIKHAIL
Middle Name:
Last Name:ZALMANOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1766 MURRAY HILL STATION
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:718-209-4712
Mailing Address - Fax:718-209-4714
Practice Address - Street 1:71-19 PARK AVENUE
Practice Address - Street 2:2 FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365
Practice Address - Country:US
Practice Address - Phone:718-591-6604
Practice Address - Fax:718-591-7105
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY158429207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY22D42Medicare ID - Type Unspecified
A 61298Medicare UPIN