Pisklakov, Sergey Vladimirovich
Pisklakov, Sergey Vladimirovich is an sole proprietor health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pisklakov, Sergey Vladimirovich can be contacted via phone (585) 275-2141.Contact Information
Primary practice address
601 Elmwood Ave
Rochester NY 14642-0001
Phone: (585) 275-2141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 215083 | New York |
Profile Details
| NPI number | 1659377026 |
|---|---|
| LBN Legal business name | Pisklakov, Sergey Vladimirovich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 14th, 2021 - about 4 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 | 1659377026 | NPPES |
| New York | MEDICAID | 8480605 |
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