Organization
SK NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE KHELEMSKY DO (OWNER)
(718) 376-3200
Entity
Organization
Contact information
Practice address
2310 65TH ST STE 1, BROOKLYN, NY 11204-4089
(718) 376-3200
Mailing address
596 ANDERSON AVE STE 105, CLIFFSIDE PARK, NJ 07010-1856
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292439
STATE LICENSE
NY
Enumeration date
11/13/2019
Last updated
11/13/2019
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