Individual provider · Type 1 NPI

Sergey Vassilevich, NP

Adult Health Nurse Practitioner · Staten Island, NY

NPI number 1346962776 Active

Practice location

3727 Amboy Rd
Staten Island, NY 10308-2519

Call (347) 841-2663 Map

Fax (718) 691-4947

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X310898 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1346962776

Sergey Vassilevich, NP's National Provider Identifier is 1346962776, issued on Sep 13, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Staten Island, NY. The record was last updated on Sep 13, 2022.