Individual
SERGEY VLADIMIROVICH PISKLAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2141
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-2141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
215083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480605
—
NY
Enumeration date
06/22/2005
Last updated
07/14/2021
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