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Individual

DR. KONSTANTIN VASYUKEVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
59 E 79TH ST, FL 1, NEW YORK, NY 10075-0258
(212) 380-3634
Mailing address
59 E 79TH ST, FLOOR 1, NEW YORK, NY 10075-0258
(212) 380-3634

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
243176
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
243176
NY

Other

Enumeration date
02/25/2007
Last updated
04/15/2016
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