Search › New York › 103K00000X
Mikhail Azernov, MA
NPI 1215695796 · on the registry since 2021
Practice
- Address
- 189 Wheatley Rd
Glen Head, NY 11545 - Phone
- (516) 686-4496
- Organisation at this address
- New York State Association For Retarded Children Inc Nassau County Cha
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 66
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York