Provider Demographics
NPI:1821087347
Name:MIKHAIL, AFAF (MD)
Entity Type:Individual
Prefix:
First Name:AFAF
Middle Name:
Last Name:MIKHAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4014
Mailing Address - Country:US
Mailing Address - Phone:516-747-2300
Mailing Address - Fax:516-747-7790
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4014
Practice Address - Country:US
Practice Address - Phone:516-747-2300
Practice Address - Fax:516-747-7790
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY194454 1207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYL26791Medicare ID - Type Unspecified