Individual
ADINA RUSAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 WEST END AVE, NEW YORK, NY 10024
(212) 769-3070
(212) 769-4703
Mailing address
475 ST. MARKS AVE #12A, BROOKLYN, NY 11238
(763) 498-3386
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
312137
NY
Other
Enumeration date
04/02/2018
Last updated
09/08/2022
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