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Dina Mishiyeva

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Dina Mishiyeva is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1093252934
Provider Type
Individual
Full Name
Mishiyeva, Dina
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/30/2017
Last Updated
1/30/2017

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 020474-1 New York

Dina Mishiyeva

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Frasca, Francesca Marie

Otterbeck, Victoria Angela

Yevtukhov, Allen

Scalici, Claudia

Ingrassia, Michael Anthony

Bello, Francelli Marie

Liconti, Dorin

Cusumano, Nicole Joann

Lastella, Megan Marie

Guarnera, Grazia