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Sergey Ikonostasov
Technician/Technologist in Warminster, Pennsylvania
NPI 1144090200

Sergey Ikonostasov is a Technician/Technologist based in Warminster, PA. Sergey Ikonostasov practices in Warminster, PA. The NPI Number for Sergey Ikonostasov is 1144090200 and holds a License No. 153189 (Pennsylvania).

The current practice location address for Sergey Ikonostasov is 426 Tall Oaks Dr, Warminster, PA and can be reached out via phone at 267-261-1121 and via fax at 610-595-9203.

Location: 426 Tall Oaks Dr, Warminster, PA, 18974-5209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144090200
Provider Name
Sergey Ikonostasov
Credential
Provider Entity Type
Individual
Gender
Male
Address
426 Tall Oaks Dr, Warminster, PA, 18974-5209
Phone Number
267-261-1121
Fax Number
610-595-9203
Provider Enumeration Date
01/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
426 Tall Oaks Dr
City
Warminster
State
Pennsylvania
Zip
18974-5209
Phone Number
267-261-1121
Fax Number
610-595-9203
person
Provider Business Mailing Address Details
Address
426 Tall Oaks Dr
City
Warminster
State
Pennsylvania
Zip
18974-5209
Phone Number
267-261-1121
Fax Number
610-595-9203
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
153189 (Pennsylvania)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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