Provider Demographics
NPI:1003254889
Name:V S MEDICAL PC
Entity type:Organization
Organization Name:V S MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SURIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-704-4310
Mailing Address - Street 1:25 W 45TH ST
Mailing Address - Street 2:SUITE1407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4902
Mailing Address - Country:US
Mailing Address - Phone:212-704-4310
Mailing Address - Fax:212-704-4311
Practice Address - Street 1:25 W 45TH ST
Practice Address - Street 2:SUITE1407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4902
Practice Address - Country:US
Practice Address - Phone:212-704-4310
Practice Address - Fax:212-704-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty