Individual provider · Type 1 NPI

Grigoriy Mashkevich, MD

Facial Plastic Surgery Physician · Forest Hills, NY

NPI number 1346398690 Active

Practice location

10812 72nd Ave Ste 3
Forest Hills, NY 11375-7080

Fax (718) 544-9301

Mailing address

PO Box 2625
New York, NY 10009-8925

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XA98950 (CA)
Facial Plastic Surgery Physician Primary 207YS0123X236999 (NY)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

About NPI 1346398690

Grigoriy Mashkevich, MD's National Provider Identifier is 1346398690, issued on Jan 5, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Forest Hills, NY. The record was last updated on Sep 12, 2016.