Individual
MR. VADIM KAZIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
462 1ST AVE, 10 SOUTH 1, NEW YORK, NY 10016-9196
(212) 562-2227
Mailing address
462 1ST AVE, 10 SOUTH 1, NEW YORK, NY 10016-9196
(212) 562-2227
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010415
NY
Other
Enumeration date
06/08/2006
Last updated
03/04/2011
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