# SERGEI DOLGOPOLOV MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841762564
- **Authorized official:** MATHEW JAMES (PATIENT ACCOUNTS)
- **Authorized official phone:** (631) 827-8159

## Contact information

- **Practice address:** 155 E 76TH ST APT 1C, NEW YORK, NY 10021-2811
- **Practice address phone:** (631) 827-8159
- **Mailing address:** 155 E 76TH ST APT 1C, NEW YORK, NY 10021-2811
- **Mailing address phone:** (631) 827-8159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2018
- **Last updated:** 12/19/2018