Provider Information for 1386218006
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SAS PHYSICIAN SERVICES, PLLC
Other Names:Doing Business As:DOWNTOWN VEIN AND VASCULAR TREATMENT CENTEROrganization Subpart: NO
NPI: 1386218006
Last Updated: 2023-06-28
Certification Date: 2023-06-28
Certification Date: 2023-06-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386218006 | ||||||||
| Enumeration Date | 2021-05-17 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Dr. SERGEI A SOBOLEVSKY MD Title: CEO Phone: 6462673432 | ||||||||
| Mailing Address | 40 E OAKDENE AVE UNIT A PALISADES PARK, NJ 07650-1630 United States Phone: 646-267-3432 | Fax:718-603-9469 | ||||||||
| Primary Practice Address | 480 COURT ST STE 101 BROOKLYN, NY 11231-4091 United States Phone: 718-393-5559 | Fax:718-603-9469 | ||||||||
| Secondary Practice Address(es) | 2626 E 14TH ST STE 202 | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|