Individual
VADIM KUSHNERIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 WALL ST STE 6A, NEW YORK, NY 10005-2106
(212) 943-4999
(212) 943-1999
Mailing address
101 INDIANA PL, BROOKLYN, NY 11234-6906
(212) 943-4999
(212) 943-4999
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
217486-1
NY
208VP0000X
Pain Medicine Physician
217486-1
NY
208VP0014X
Interventional Pain Medicine Physician
217486-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02132841
—
NY
01
—
P00154899
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
03/02/2026
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