Individual
DR. KEVIN MICHAEL VACLAVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
993 PARK AVE, NEW YORK, NY 10028-0921
(212) 371-8460
Mailing address
165 E 31ST ST, BROOKLYN, NY 11226-5503
(832) 371-3433
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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