IndividualActive
Konstantin Vasyukevich, MD
NPI 1124154273 · Facial Plastic Surgery Physician · New York, NY
Provider details
- NPI number
- 1124154273
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 243176 (NY)
Mailing address
59 E 79th St
New York, NY 10075-0258
Registry dates
- Enumerated
- 2007-02-25
- Last updated
- 2016-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.