Svengsouk, Jefferson

Svengsouk, Jefferson is an individual health care provider with primary practice located at 601 Elmwood Ave Box 655, Rochester NY 14642-8655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Svengsouk, Jefferson can be contacted via phone (525) 341-3002.

Contact Information

Primary practice address
601 Elmwood Ave Box 655 Rochester NY 14642-8655
Phone: (525) 341-3002
Fax: (585) 473-3516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 211296 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 211296 New York

Profile Details

NPI number 1134153729
LBN Legal business name Svengsouk, Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134153729 NPPES
New York MEDICAID 02178554

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