Individual provider · Type 1 NPI
Konstantin Vasyukevich, MD
Facial Plastic Surgery Physician · New York, NY
NPI number
1124154273
Active
Practice location
59 E 79th St, Fl 1
New York, NY 10075-0258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 243176 (NY) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 243176 (NY) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1124154273
Konstantin Vasyukevich, MD's National Provider Identifier is 1124154273, issued on Feb 25, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in New York, NY. The record was last updated on Apr 15, 2016.