Sergyeyev, Oleksandr

Sergyeyev, Oleksandr is an sole proprietor health care provider with primary practice located at 455 Leverett Ave , Staten Island NY 10308-1920. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Sergyeyev, Oleksandr can be contacted via phone (917) 862-5215.

Contact Information

Primary practice address
455 Leverett Ave Staten Island NY 10308-1920
Phone: (917) 862-5215
Fax: (718) 347-4643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 549738 New York

Profile Details

NPI number 1114053568
LBN Legal business name Sergyeyev, Oleksandr
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114053568 NPPES
New York MEDICAID 02694640

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