Sergyeyev, Oleksandr
Sergyeyev, Oleksandr is an sole proprietor health care provider with primary practice located at 455 Leverett Ave , Staten Island NY 10308-1920. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Sergyeyev, Oleksandr can be contacted via phone (917) 862-5215.Contact Information
Primary practice address
455 Leverett Ave
Staten Island NY 10308-1920
Phone: (917) 862-5215
Fax: (718) 347-4643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 549738 | New York |
Profile Details
NPI number | 1114053568 |
---|---|
LBN Legal business name | Sergyeyev, Oleksandr |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 27th, 2007 |
Last updated | Jul 9th, 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 | 1114053568 | NPPES |
New York | MEDICAID | 02694640 |
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