Individual
ARTEM VASILENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
2828 KINGS HWY APT 5H, BROOKLYN, NY 11229-1836
(760) 208-7276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020985
NY
Other
Enumeration date
06/18/2017
Last updated
03/17/2018
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