Individual
DR. SERGAI NICHOLAI DELAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20OVERHILL ROAD, #310, SCARSDALE, NY 10583-5316
(212) 737-3301
(212) 734-0407
Mailing address
130 E 77TH ST, FL5, NEW YORK, NY 10075-1851
(212) 737-3301
(212) 734-0407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2173801
NY
207X00000X
Orthopaedic Surgery Physician
Primary
217380
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
217380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173801
LICENSE
NY
01
—
WEG241
MEIDCARE GROUP NUMBER
NY
Enumeration date
01/06/2006
Last updated
06/25/2013
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