Individual
IGOR SERGEYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9101 4TH AVE STE 3, BROOKLYN, NY 11209-6369
(718) 680-0265
(718) 680-0036
Mailing address
9101 4TH AVE STE 3, BROOKLYN, NY 11209-6369
(718) 680-0265
(718) 680-0036
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
228019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760272
—
NY
01
—
228019-1
NY STATE LICENSE NUMBER
NY
Enumeration date
05/27/2006
Last updated
09/23/2025
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