Individual
DR. JONATHAN MATTHEW VIGDORCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1992
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1992
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
264537
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
264537
NY
Other
Enumeration date
06/29/2007
Last updated
04/22/2021
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