Healthcare Provider Details

I. General information

NPI: 1750373171
Provider Name (Legal Business Name): SERGEI NAUM BELENKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 PERRY HWY SUITE 320
PITTSBURGH PA
15237-5367
US

IV. Provider business mailing address

1100 WASHINGTON AVE SUITE 215
CARNEGIE PA
15106-3614
US

V. Phone/Fax

Practice location:
  • Phone: 412-348-6868
  • Fax: 412-366-5118
Mailing address:
  • Phone: 412-278-3310
  • Fax: 412-278-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD063489L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: