Individual ProviderSergo GabuniaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Dept Of General Surgery,, Albany, NY 12208(518) 262-5623PECOS EnrollmentBased on the most recent information from CMS, provider Sergo Gabunia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1306473079Provider TypeIndividualFull NameGabunia, SergoCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/24/2020Last Updated3/24/2020Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Dept Of General Surgery,, Albany, NY 12208Phone(518) 262-5623Fax(518) 262-5560Mailing LocationMailing Address47 New Scotland Avenue, Dept Of General Surgery,, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer