Individual
DR. VIJAY B VAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
519 E 72ND ST, 203, NEW YORK, NY 10021-4028
(212) 606-1306
(212) 774-2934
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1306
(212) 774-2934
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
199068-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730283474
NONE PARTICIPATING HEALTH CARE PROVIDER
NY
Enumeration date
09/12/2006
Last updated
04/21/2021
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