Provider Demographics
NPI:1891703237
Name:NEW MILLENNIUM HEALTHCARE INC.
Entity Type:Organization
Organization Name:NEW MILLENNIUM HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE DOCTOR/TIN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASNYANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-946-4662
Mailing Address - Street 1:6803 MAYFIELD RD STE 409
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2214
Mailing Address - Country:US
Mailing Address - Phone:440-946-4662
Mailing Address - Fax:440-683-1882
Practice Address - Street 1:6803 MAYFIELD RD STE 409
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2214
Practice Address - Country:US
Practice Address - Phone:440-946-4662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCJ8248OtherMEDICARE RAILROAD
OH2731360Medicaid
OHCJ8248OtherMEDICARE RAILROAD