SearchNew York363LA2200X

Sergey Vassilevich, NP

NPI 1346962776 · on the registry since 2022 · sole proprietor

Practice

Address
3727 Amboy Rd
Staten Island, NY 10308
Phone
(347) 841-2663
Fax
(718) 691-4947

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-13

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