Organization
VITALY TERUSHKIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANMARIE FOREMAN (MANAGER)
(212) 249-2552
Entity
Organization
Contact information
Practice address
205 E 69TH ST APT 1C, NEW YORK, NY 10021-5437
(212) 249-2552
(212) 772-7370
Mailing address
205 E 69TH ST APT 1C, NEW YORK, NY 10021-5437
(212) 249-2552
(212) 772-7370
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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