Provider Demographics
NPI:1528225026
Name:REMED MEDICAL, P. C.
Entity Type:Organization
Organization Name:REMED MEDICAL, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAYLOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-699-8500
Mailing Address - Street 1:9815 HORACE HARDING EXPY
Mailing Address - Street 2:DOCTORS OFFICE
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4249
Mailing Address - Country:US
Mailing Address - Phone:718-699-8500
Mailing Address - Fax:718-271-4897
Practice Address - Street 1:9815 HORACE HARDING EXPY
Practice Address - Street 2:DOCTORS OFFICE
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4249
Practice Address - Country:US
Practice Address - Phone:718-699-8500
Practice Address - Fax:718-271-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226007208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH75327Medicare UPIN