Individual
SERGEY SORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2840 E CHESTNUT EXPY, SPRINGFIELD, MO 65802-2559
(845) 754-7718
(845) 703-6264
Mailing address
148 WALNUT HILL LN, OZARK, MO 65721-4227
(417) 351-5221
(845) 703-6264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD449292
PA
207Q00000X
Family Medicine Physician
Primary
229335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02614639
—
NY
Enumeration date
11/15/2005
Last updated
06/10/2025
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