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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659377026 NPPES
New York MEDICAID 8480605

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