Individual
DR. SERGEY GALUSTYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
221485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177053
—
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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