Pisarenko, Vadim

Pisarenko, Vadim is an individual health care provider with primary practice located at 500 Mamaroneck Avenue Suite 211, Harrison NY 10528-1633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Pisarenko, Vadim can be contacted via phone (201) 546-1729.

Contact Information

Primary practice address
500 Mamaroneck Avenue Suite 211 Harrison NY 10528-1633
Phone: (201) 546-1729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08167400 New Jersey
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 246066 New York

Profile Details

NPI number 1609020981
LBN Legal business name Pisarenko, Vadim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Jun 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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