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

New York Innovative Medical PLLC

Organization Clinic/Center · NPI 1447525662

New York Innovative Medical PLLC is a Clinic/Center in Rego Park, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8589 67th Ave
Rego Park, NY 11374-5226
Phone: (917) 557-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 261794 (NY)

Record details

NPI number1447525662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Dolgovina — Practitioner · (917) 557-0202
NPI enumeratedMarch 21, 2012
Last updated in NPPESMarch 21, 2012
Mailing address8589 67th Ave, Rego Park, NY 11374-5226

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