Sobolevsky, Sergei A
Sobolevsky, Sergei A is an sole proprietor health care provider with primary practice located at 480 Court St Ste 101 , Brooklyn NY 11231-4091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Sobolevsky, Sergei A can be contacted via phone (718) 393-5559.Contact Information
Primary practice address
480 Court St Ste 101
Brooklyn NY 11231-4091
Phone: (718) 393-5559
Fax: (718) 603-9469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 220183 | New York |
Profile Details
NPI number | 1831154301 |
---|---|
LBN Legal business name | Sobolevsky, Sergei A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 19th, 2006 |
Last updated | Jun 28th, 2023 - about 2 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 | 1831154301 | NPPES |
New York | MEDICAID | 02800351 |
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