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
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | A98950 (CA) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | 236999 (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.