Individual
VADIM PINKHASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4232 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2561
(718) 750-1665
(718) 691-4916
Mailing address
PO BOX 84, ROSLYN HEIGHTS, NY 11577-0084
(718) 750-1665
(718) 691-4916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347375
NY
363L00000X
Nurse Practitioner
APRN11015412
FL
Other
Enumeration date
06/07/2021
Last updated
08/03/2024
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