Dr. Konstantin Vasyukevich
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
59 E 79th St Fl 1
New York
, New York 10075-0258
Dr. Konstantin Vasyukevich
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
59 E 79th St Fl 1
New York
, New York 10075-0258
(212) 380-3634
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About
Features
Specialties
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Konstantin Vasyukevich
- 59 E 79th St Floor 1
- New York, NY
- Zip : 10075-0258
- Phone : (212) 380-3634
Second Address
- Dr. Konstantin Vasyukevich
- 59 E 79th St Fl 1
- New York, NY
- Zip : 10075-0258
- Phone : (212) 380-3634
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 243176 | NY |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 243176 | NY |
National Provider Identifier
| NPI | 1124154273 |
|---|---|
| Provider Name | Dr. Konstantin Vasyukevich |
| First Address | New York, NY 10075-0258 |
| Second Address | New York, NY 10075-0258 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2007 |
| Last Update Date | 15/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.