National Provider Identifier
Sergey Vladimirovich Pisklakov, M.D.
Sergey Vladimirovich Pisklakov, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 275-2141.
Profile Overview
- NPI
- 1659377026
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- June 22, 2005
- Last Updated
- July 14, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2141
Mailing Address
- 601 Elmwood Ave Box 604
- Rochester, NY 14642-0001
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1659377026
- Entity Type
- Individual
- Last Name
- Pisklakov
- First Name
- Sergey
- Middle Name
- Vladimirovich
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2141
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2141
- Enumeration Date
- June 22, 2005
- Last Updated
- July 14, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)
- Other Identifiers
- 8480605 (NY)