Provider Demographics
NPI:1245407337
Name:OSTROW, VLADY (DO)
Entity Type:Individual
Prefix:DR
First Name:VLADY
Middle Name:
Last Name:OSTROW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 596
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:866-295-0041
Mailing Address - Fax:708-342-2517
Practice Address - Street 1:180 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 7B
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4569
Practice Address - Country:US
Practice Address - Phone:732-935-7143
Practice Address - Fax:732-935-7245
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2013-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0140242080P0205X
NJ25MB087101002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology