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Volodymyr Serediouk

Physician Assistant in West Babylon, NY. Individual provider (NPI-1).

NPI number1043750722
StatusActive
Last updated in NPPESMar 1, 2017

Details

NPI
1043750722
Entity type
Individual (NPI-1)
Name
Volodymyr Serediouk
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 1, 2017
Last updated
Mar 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant020671NYYes

Practice location

21 Montgomery Ave
West Babylon, NY 11704

Phone 631-482-0788

Mailing address

21 Montgomery Ave
West Babylon, NY 11704-4812

Phone 631-482-0788

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