Galustyan, Sergey
Galustyan, Sergey is an individual health care provider with primary practice located at 8900 Van Wyck Expy , Jamaica NY 11418-2897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Galustyan, Sergey can be contacted via phone (718) 206-6000.Contact Information
Primary practice address
8900 Van Wyck Expy
Jamaica NY 11418-2897
Phone: (718) 206-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 221485 | New York |
Profile Details
NPI number | 1053418095 |
---|---|
LBN Legal business name | Galustyan, Sergey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053418095 | NPPES |
New York | MEDICAID | 02177053 |
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