Provider Demographics
NPI:1184971624
Name:V P S MEDICAL PLLC
Entity type:Organization
Organization Name:V P S MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTEYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-951-1877
Mailing Address - Street 1:791 PARK AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3512
Mailing Address - Country:US
Mailing Address - Phone:212-951-1877
Mailing Address - Fax:
Practice Address - Street 1:791 PARK AVE APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3512
Practice Address - Country:US
Practice Address - Phone:212-951-1877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248881208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty