| Robert Malakov Physician, P.c | |
|
98120 Queens Blvd Ste 1lm Rego Park NY 11374-4313 | |
| (718) 897-3333 | |
| (718) 997-0342 |
| Full Name | Robert Malakov Physician, P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 98120 Queens Blvd Ste 1lm, Rego Park, New York |
| Authorized Official Name and Position | Robert Malakov (PRESIDENT) |
| Authorized Official Contact | 7188973333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Malakov Physician, P.c 98120 Queens Blvd Ste 1lm Rego Park NY 11374-4313 Ph: (718) 897-3333 | Robert Malakov Physician, P.c 98120 Queens Blvd Ste 1lm Rego Park NY 11374-4313 Ph: (718) 897-3333 |
| NPI Number | 1427321025 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Medicare PECOS PAC ID | 7911165923 |
|---|---|
| Medicare Enrollment ID | O20120222000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427321025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 211351 (New York) | Primary |
| Provider Name | Robert Malakov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932300340 PECOS PAC ID: 4183891807 Enrollment ID: I20120120000790 |
| Provider Name | Aishwarya Parth Raval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730797440 PECOS PAC ID: 0042692808 Enrollment ID: I20220727000703 |
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