Individual
SERGEY GORBACHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4135
Mailing address
600 MCCLELLAN ST, 2 W, SCHENECTADY, NY 12304-1009
(518) 347-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243282
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0106399
IN
208M00000X
Hospitalist Physician
Primary
243282
NY
Other
Enumeration date
03/08/2007
Last updated
07/16/2010
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