Sergey Prokhorov
Child Neurologist
9817 Queens Boulevard Ll2
Rego Park
, New York 11374-3336
Sergey Prokhorov
Child Neurologist
9817 Queens Boulevard Ll2
Rego Park
, New York 11374-3336
(718) 275-5608
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Sergey Prokhorov
- 9817 Queens Boulevard Ll2
- Rego Park, NY
- Zip : 11374-3336
- Fax : (718) 275-5608
- Phone : (718) 275-5600
Second Address
- Sergey Prokhorov
- 9817 Queens Boulevard Ll2
- Rego Park, NY
- Zip : 11374-3336
- Fax : (718) 275-5608
- Phone : (718) 275-5600
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Is Sergey Prokhorov a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 231008 | NY |
National Provider Identifier
| NPI | 1366419962 |
|---|---|
| Provider Name | Sergey Prokhorov |
| First Address | Rego Park, NY 11374-3336 |
| Second Address | Rego Park, NY 11374-3336 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 10/06/2011 |
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.