Individual
DR. VADIM PISARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MAMARONECK AVENUE, SUITE 211, HARRISON, NY 10528-1633
(201) 546-1729
Mailing address
500 MAMARONECK AVENUE, SUITE 211, HARRISON, NY 10528-1633
(914) 771-7373
(914) 337-6757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08167400
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
246066
NY
Other
Enumeration date
11/12/2008
Last updated
06/27/2012
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