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Individual

DR. VADIM S TEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10032-1559
(212) 304-7250
(212) 544-1974
Mailing address
77 WHITMAN AVE, STATEN ISLAND, NY 10308-3226
(718) 227-7359

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
001656
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02311168
NY
Enumeration date
03/08/2006
Last updated
03/17/2016
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