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 provides Family Medicine Physician services 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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