Provider Demographics
NPI:1821269085
Name:IMPORTANT STEPS MEDICAL P.C.
Entity Type:Organization
Organization Name:IMPORTANT STEPS MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAYLOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-932-6896
Mailing Address - Street 1:9951 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3652
Mailing Address - Country:US
Mailing Address - Phone:646-932-6896
Mailing Address - Fax:
Practice Address - Street 1:6260 108TH ST STE 1J
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1301
Practice Address - Country:US
Practice Address - Phone:718-275-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty