Individual
SERGE KHELEMSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2310 65TH ST STE 1, BROOKLYN, NY 11204-4089
(718) 376-3200
Mailing address
41 RIVER TER APT 3801, NEW YORK, NY 10282-1127
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
292439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05191319
—
NY
01
—
25MB10140800
STATE LICENSE
NJ
01
—
292439
STATE LICENSE
NY
Enumeration date
05/31/2013
Last updated
06/07/2019
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