Individual
DR. SERGEI DOLGOPOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 E 76TH ST, 1B, NEW YORK, NY 10021
(212) 628-8771
Mailing address
155 E 76TH ST APT 1C, NEW YORK, NY 10021-2811
(212) 988-1136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
218924
NY
Other
Enumeration date
10/12/2006
Last updated
08/09/2018
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