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Contact Information

SERGEI KOCHLATYI, MD
110 5TH ST
CRESSKILL, NJ07626-2002
 Phone: 917-974-7172
 Fax: 201-313-8888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SERGEI KOCHLATYI · (Male)

NPI # 1104877836
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 12/28/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 218265
  • NY Medicaid 02142469
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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