SERGII P MAISTRUK

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC

Dr SERGII P MAISTRUK is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017.

Contact

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC

500 5TH AVE
OWEGO
NY
138271620

Tel: 6076871122

SERGII P MAISTRUK Information

Npi 1134643331
Pac Id 2567722812
Professional Enrollment Id I20180205002213
Last Name MAISTRUK
First Name SERGII
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC
Group Practice Pac Id 1254237779
Number Of Group Practice Members 228
Line 1 Street Address 500 5TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OWEGO
State NY
Zip Code 138271620
Phone Number 6076871122
Hospital Affiliation Ccn 1 330011
Hospital Affiliation Lbn 1 LOURDES HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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