Individual
YURIY SEREMBYTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
238.000044
IL
363AS0400X
Surgical Physician Assistant
Primary
238.000044
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538275508
SURGICAL ASSISTANT
IL
Enumeration date
08/22/2006
Last updated
09/23/2018
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