Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

New York Innovative Medical PLLC

Organization Clinic/Center · NPI 1447525662

New York Innovative Medical PLLC provides Clinic/Center services 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 Not confirmed with CMS for 14 years — call before visiting
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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