Healthcare Provider Details

I. General information

NPI: 1396952875
Provider Name (Legal Business Name): VOSKIN MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 AVENUE P
BROOKLYN NY
11229-1507
US

IV. Provider business mailing address

2116 AVENUE P
BROOKLYN NY
11229-1507
US

V. Phone/Fax

Practice location:
  • Phone: 718-338-1616
  • Fax: 718-338-1898
Mailing address:
  • Phone: 718-338-1616
  • Fax: 718-338-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: SERGEY VOSKRESENSKIY
Title or Position: OWNER
Credential: MD
Phone: 718-338-1616