Basic Information
Provider Information
NPI: 1366673386
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SERGHI
FirstName: ALEXANDRU
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 105 ARDEN ST APT 1G
Address2:  
City: NEW YORK
State: NY
PostalCode: 100401118
CountryCode: US
TelephoneNumber: 2127296739
FaxNumber:  
Practice Location
Address1: 1356 LUSITANA ST FL 4
Address2:  
City: HONOLULU
State: HI
PostalCode: 968132421
CountryCode: US
TelephoneNumber: 8085862900
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2009
LastUpdateDate: 08/07/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0015X15072HIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine

No ID Information.


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