SERGEY KUNKOV MD NPI 1447332689

NPI Information

NPI: 1447332689
Provider Name: SERGEY KUNKOV, MD
Classification: Emergency Medicine - 207PP0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
101 NICOLLS RD
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-0650
Get Directions

Sergey Kunkov, MD is a pediatric emergency medicine emergency medicine in Stony Brook, NY. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Sergey Kunkov, MD NPI is 1447332689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 NICOLLS RD
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-0650

The NPI 1447332689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	S5000	TEXAS	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	213458	NEW YORK	No
3	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	S5000	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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