DR. KONSTANTIN VASYUKEVICH (NPI# 1124154273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124154273 |
Entity Type | Individual |
Full Name | DR. KONSTANTIN VASYUKEVICH |
Credential | MD |
Practice Address |
59 E 79th St Fl 1 New York NY 10075-0258 |
Mailing Address |
59 E 79th St Floor 1 New York NY 10075-0258 |
Practice Telephone | 2123803634 |
Mailing Telephone | 2123803634 |
Enumeration Date | 2007-02-25 |
Last Update Date | 2016-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
243176 | NY | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
243176 | NY | Allopathic & Osteopathic Physicians |
Street Address |
59 E 79TH ST FL 1 |
City | NEW YORK |
State | NY |
Zip Code | 10075-0258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528174091 | Allison Teresa Pontius | Otolaryngology | 59 E 79th St, Suite 1ab, New York, NY 10021-0258 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
Find all providers in zip 10075 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427311430 | Gary Linkov | Otolaryngology | 635 Madison Ave # 1402e, New York, NY 10022-1009 | 2012-06-25 |
1710276753 | Moustafa W. Mourad | Otolaryngology | 115 E 61st St Ste 7c, New York, NY 10065 | 2011-03-30 |
1083850044 | Richard W Westreich Md Pllc | Otolaryngology | 4 E 88th St Ste 1b, New York, NY 10128 | 2008-12-22 |
1780845545 | Lesley Rabach | Otolaryngology | 33 5th Ave Apt 1b, Lm Medical Nyc, New York, NY 10003-4377 | 2008-06-24 |
1386703338 | Michelle Robin Yagoda | Otolaryngology | 5 E 83rd St, New York, NY 10028-0401 | 2006-12-06 |
1699864132 | Bernard L. Pacella Jr. | Otolaryngology | 115 E 61st St Apt 4c, New York, NY 10021-8184 | 2006-10-12 |
1699863639 | Norman Joseph Pastorek | Otolaryngology | 12 East 88th Street, New York, NY 10128-0535 | 2006-10-11 |
1528174091 | Allison Teresa Pontius | Otolaryngology | 59 E 79th St, Suite 1ab, New York, NY 10021-0258 | 2006-08-21 |
1619988680 | Corinne E. Horn | Otolaryngology | 36 E 36th St Ph A, Suite 200, New York, NY 10016-3453 | 2006-08-11 |
1316929755 | Lee Ann M. Klausner | Otolaryngology | 154 E 85th St, New York, NY 10028-2103 | 2005-11-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.