Zavilyansky, Sergey
Zavilyansky, Sergey is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 2T, Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zavilyansky, Sergey can be contacted via phone (315) 452-2828.Contact Information
Primary practice address
5100 W Taft Rd Suite 2T
Liverpool NY 13088-3807
Phone: (315) 452-2828
Fax: (315) 452-2891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 204742 | New York |
Profile Details
| NPI number | 1194770610 |
|---|---|
| LBN Legal business name | Zavilyansky, Sergey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 14th, 2012 - about 14 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 | 1194770610 | NPPES |
| New York | MEDICAID | 01707515 |
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