Dr. Semyon Gurgov, M.D.
Urology in Greenlawn, NY. Individual provider (NPI-1).
NPI number1023364643
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1023364643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Semyon Gurgov
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2012
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 292786 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5 Cuba Hill RdGreenlawn, NY 11740-1624
Phone 631-628-5000 · Fax 631-628-5715
Mailing address
1 Brookdale PlzBrooklyn, NY 11212-3139
Phone 718-240-5000
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