Organization
SV ADULT HEALTH NP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY VASSILEVICH NP (OWNER)
(347) 841-2663
Entity
Organization
Contact information
Practice address
158 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 407-6333
(718) 691-4947
Mailing address
3727 AMBOY RD, STATEN ISLAND, NY 10308-2519
(929) 877-0122
(718) 691-4947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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