Provider Demographics
NPI:1881004315
Name:RUHAYNA MUKHI MEDICAL I, P.C.
Entity Type:Organization
Organization Name:RUHAYNA MUKHI MEDICAL I, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RUHAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-486-0094
Mailing Address - Street 1:897 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-1528
Mailing Address - Country:US
Mailing Address - Phone:516-655-9649
Mailing Address - Fax:516-486-0110
Practice Address - Street 1:183 BROADWAY STE 308
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4242
Practice Address - Country:US
Practice Address - Phone:516-486-0094
Practice Address - Fax:516-486-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263142207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY263142OtherLICENSE