SERGEY VASSILEVICH

STATEN ISLAND, NY
NPI1346962776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310898)
Enumeration Date2022-09-13
Last Update Date2022-09-13
Business Address
Mr. SERGEY VASSILEVICH NP
3727 AMBOY RD
STATEN ISLAND, NY 10308-2519
Phone number: 347-841-2663
Mailing Address
Mr. SERGEY VASSILEVICH NP
3727 AMBOY RD
STATEN ISLAND, NY 10308-2519
Phone number: 347-841-2663
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