# VADIM KOROL NP IN PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992260889
- **Authorized official:** MR. VADIM KOROL NP (PRESIDENT)
- **Authorized official phone:** (718) 869-9060

## Contact information

- **Practice address:** 390 HOWARD AVE, FRANKLIN SQUARE, NY 11010-3341
- **Practice address phone:** (718) 869-9060
- **Mailing address:** 390 HOWARD AVE, FRANKLIN SQUARE, NY 11010-3341
- **Mailing address phone:** (718) 869-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/12/2019