Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

210 Mineola Medical PC

Organization Family Medicine Physician · NPI 1821566969

210 Mineola Medical PC is a Family Medicine Physician in Mineola, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Old Country Rd
Mineola, NY 11501-4218
Phone: (516) 279-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1821566969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irena Musheev — Credentialing Coordinator · (516) 612-9837
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018
Mailing address211 Broadway Ste 205, Lynbrook, NY 11563-3290

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