Prokhorov, Sergey

Prokhorov, Sergey is an individual health care provider with primary practice located at 9817 Queens Boulevard Ll2, Rego Park NY 11374-3336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Prokhorov, Sergey can be contacted via phone (718) 275-5600.

Contact Information

Primary practice address
9817 Queens Boulevard Ll2 Rego Park NY 11374-3336
Phone: (718) 275-5600
Fax: (718) 275-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 231008 New York

Profile Details

NPI number 1366419962
LBN Legal business name Prokhorov, Sergey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 10th, 2011 - about 13 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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