Ivan Mikolaenko

M.D. | Neurology | 32+ years Exp


  100 Merrick Road Suite 128, Rockville Centre
     New York, 11570-0001
  516-255-9031    516-766-2306 Maps & Directions
Ivan Mikolaenko is a Rockville Centre, New York based neurologist with 32 years of experience in Neurology. He completed his graduation in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ivan Mikolaenko is 0109542061 for Neurology in Virginia. His current practice location is 100 Merrick Road Suite 128, Rockville Centre. Patients can reach him at 516-255-9031 or can fax him at 516-766-2306. Ivan Mikolaenko is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1023231883.
Ivan Mikolaenko specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Ivan Mikolaenko speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ivan Mikolaenko
Specialization: Neurology
Gender:Male
Credentials: M.D.
Experience: 32+ years
Medical School Attended:Other
Graduation Year:1992
Accepts Medicare Assignment:Yes
Practice Address:100 Merrick Road Suite 128, Rockville Centre,
New York, 11570-0001
Phone:516-255-9031
Fax:516-766-2306
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1254496706
Enrollment ID: I20111216000136
NPI Number: 1023231883
NPI Enumeration Date: 10 Apr, 2007
NPI Last Update On: 05 Apr, 2012

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivan Mikolaenko are as mentioned below.
License NumberSpecializationStateStatus
0109542061Neurology VirginiaPrimary
0116020711Neurology VirginiaSecondary
0116020711Vascular Neurology VirginiaSecondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ivan Mikolaenko is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Advanced Medical Care Pllc (1052202744)9
Other Medical Identifiers:
Other legacy medical identifiers associated with Ivan Mikolaenko such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1023231883MedicaidVirginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ivan Mikolaenko
100 Merrick Rd Ste 128,
Rockville Centre, New York
Zip: 11570-4821
Phone Number: 516-255-9031
Fax Number: 516-766-2306
Patients can reach Ivan Mikolaenko at 100 Merrick Road Suite 128, Rockville Centre, New York or can call to book an appointment on 516-255-9031.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.