Individual
MR. SERGEJ NAUMOVICH KONOPLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PHD
Contact information
Practice address
244 WESTCHESTER AVE STE 400, WEST HARRISON, NY 10604-2909
(914) 339-5000
(914) 468-6172
Mailing address
244 WESTCHESTER AVE STE 400, WEST HARRISON, NY 10604-2909
(914) 339-5000
(914) 468-6172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
41384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182324701
—
TX
01
—
8U7583
BCBS
TX
01
—
P00347948
RR MEDICARE
TX
Enumeration date
07/09/2006
Last updated
05/06/2023
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