Sobolevsky, Sergei A

Sobolevsky, Sergei A is an sole proprietor health care provider with primary practice located at 480 Court St Ste 101 , Brooklyn NY 11231-4091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Sobolevsky, Sergei A can be contacted via phone (718) 393-5559.

Contact Information

Primary practice address
480 Court St Ste 101 Brooklyn NY 11231-4091
Phone: (718) 393-5559
Fax: (718) 603-9469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 220183 New York

Profile Details

NPI number 1831154301
LBN Legal business name Sobolevsky, Sergei A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jun 28th, 2023 - about 3 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 1831154301 NPPES
New York MEDICAID 02800351

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