National Provider Identifier Database

PISARENKO MEDICAL PLLC
Plastic and Reconstructive Surgery


Contact Information

PISARENKO MEDICAL PLLC
500 MAMARONECK AVE STE 211
HARRISON, NY10528-1600
Phone: 914-771-7373
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for PISARENKO MEDICAL PLLC

NPI Number 1093608663
Legal business name
LBN
PISARENKO MEDICAL PLLC
Authorized official VADIM PISARENKO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/02/2025
Last updated 06/02/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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