Individual
SERGEY KHAITOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 14TH FL, SUITE C, NEW YORK, NY 10029-6501
(212) 241-1763
(212) 241-5975
Mailing address
5 E 98TH ST, 15TH FL, BOX 1259, NEW YORK, NY 10029-6501
(212) 241-1763
(212) 241-5975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
235880
NY
Other
Enumeration date
06/13/2008
Last updated
01/25/2010
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