MIROMEDICAL P.C.
NPI 1003120619
Family Medicine in New York, NY

Active since August 06, 2010
2364 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027(212) 666-3533(212) 666-3535 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miromedical P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIROMEDICAL P.C. (NPI 1003120619) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since August 2010. The organization lists Natalia Dochim, Manager, as its authorized official.

NPPES Registry Identity

NPI1003120619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIROMEDICAL P.C.
Location Address2364 FREDERICK DOUGLASS BLVDNew York, NY 10027-3640
Mailing Address2364 Frederick Douglass BlvdNew York, NY 10027 · (212) 666-3533 · Fax (212) 666-3535
Fax(212) 666-3535
Organization SubpartNo
Authorized OfficialNatalia DochimManager · (212) 666-3533
Enumeration DateAugust 6, 2010
NPI 1003120619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 093763
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 093763 (NY)
2364 FREDERICK DOUGLASS BLVD, New York, NY 10027

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
2364 FREDERICK DOUGLASS BLVD, 1 FLOOR
NEW YORK, NY 10027
Dentist
2364 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
2364 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Specialist
2364 FREDERICK DOUGLASS BLVD, 1 FLOOR
NEW YORK, NY 10027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miromedical P.C.'s NPI number?

The NPI number for Miromedical P.C. is 1003120619. It was assigned to this organization in the NPPES registry on August 6, 2010.

Where is Miromedical P.C. located?

Miromedical P.C. is located at 2364 Frederick Douglass Blvd, New York, NY 10027. The listed phone number is (212) 666-3533.

What is Miromedical P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Miromedical P.C. was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.