Provider Demographics
NPI:1154507861
Name:M&L MEDICAL SERVICES. P.C.
Entity type:Organization
Organization Name:M&L MEDICAL SERVICES. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-837-3035
Mailing Address - Street 1:25 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3320
Mailing Address - Country:US
Mailing Address - Phone:516-837-3035
Mailing Address - Fax:
Practice Address - Street 1:2004 SEAGIRT BLVD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2810
Practice Address - Country:US
Practice Address - Phone:718-868-8620
Practice Address - Fax:718-868-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241428207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty