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Contact Information

VADIM PISARENKO, MD
500 MAMARONECK AVENUE
SUITE 211
HARRISON, NY10528-1633
 Phone: 201-546-1729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VADIM PISARENKO · (Male)

NPI # 1609020981
Status Active
Credentials MD
Entity Individual
Enumeration date 11/12/2008
Last updated 06/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08167400
  • NY License # 246066
Hospital affiliation(s)
  • SOUND SHORE MEDICAL CENTER OF WESTSCHESTER - (Acute Care)
    16 GUION PLACE
    NEW ROCHELLE, NY 10802
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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