Organization
LIVINGSTON MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM SURIKOV DO (OWNER)
(646) 270-7357
Entity
Organization
Contact information
Practice address
825 SEVENTH AVE, SUITE LL, NEW YORK, NY 10019
(646) 270-7357
Mailing address
200 WINSTON DR, APT. 805, CLIFFSIDE PK, NJ 07010-3235
(646) 270-7357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208907
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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