Individual
SERHIY SOSNIYENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-5067
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
004052
NY
208M00000X
Hospitalist Physician
Primary
004052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03474866
—
NY
Enumeration date
07/04/2009
Last updated
09/20/2022
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