Provider Demographics
NPI:1881772044
Name:RANKOVA, MAYA (MD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:
Last Name:RANKOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3320
Mailing Address - Country:US
Mailing Address - Phone:516-837-3035
Mailing Address - Fax:
Practice Address - Street 1:2004 SEAGIRT BLVD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2802
Practice Address - Country:US
Practice Address - Phone:718-868-8668
Practice Address - Fax:718-868-8611
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241428207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine