NPI 1609020981

Vadim Pisarenko, MD

Practitioner Plastic and Reconstructive Surgery Physician Harrison, NY

Practice location

Address: 500 Mamaroneck Avenue Suite 211, Harrison, NY 10528-1633
Phone: (201) 546-1729

Registered specialties (2)

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 246066 (NY)

Other Surgery providers in New York →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25MA08167400 (NJ)

Registry record

NPI: 1609020981
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2008
Record last updated: 27 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.