Individual
VINAYAK GORAKHANATH WAGASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SECOND FLOOR, 625 MADISON AVE., NEW YORK, NY 10022
(212) 241-9955
Mailing address
DEPT. OF UROLOGY, ICAHN SCHOOL OF MEDICINE MOUNT SINAI, ONE GUSTAVE L. LEVY PLACE; BX -1272, NEW YORK, NY 10029-6574
(212) 241-8711
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P09775
NY
Other
Enumeration date
04/18/2018
Last updated
06/17/2021
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