Dr. Sergey Galustyan
Pediatric Emergency Physician
8900 Van Wyck Expy
Jamaica
, New York 11418-2897
Dr. Sergey Galustyan
Pediatric Emergency Physician
8900 Van Wyck Expy
Jamaica
, New York 11418-2897
(631) 454-4161
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Sergey Galustyan
- 80 Marcus Dr
- Melville, NY
- Zip : 11747-4230
- Fax : (631) 454-4161
- Phone : (631) 391-7700
Second Address
- Dr. Sergey Galustyan
- 8900 Van Wyck Expy
- Jamaica, NY
- Zip : 11418-2897
- Phone : (718) 206-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 221485 | NY |
National Provider Identifier
| NPI | 1053418095 |
|---|---|
| Provider Name | Dr. Sergey Galustyan |
| First Address | Melville, NY 11747-4230 |
| Second Address | Jamaica, NY 11418-2897 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02177053 | (05) | NY |
| G77414 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.