Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sergey Ikonostasov

Individual provider Technician/Technologist · NPI 1144090200

Sergey Ikonostasov is a Technician/Technologist in Warminster, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

426 Tall Oaks Dr
Warminster, PA 18974-5209
Phone: (267) 261-1121
Fax: (610) 595-9203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence 153189 (PA)

Record details

NPI number1144090200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address426 Tall Oaks Dr, Warminster, PA 18974-5209