IndividualActive
Adina Rusakov, MD
NPI 1750887402 · Pediatrics Physician · New York, NY
Provider details
- NPI number
- 1750887402
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 312137 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
450 West End Ave
New York, NY 10024
Phone: (212) 769-3070
Fax: (212) 769-4703
Approximate (ZIP-level) locationGet directions
Mailing address
475 St. Marks Ave #12a
Brooklyn, NY 11238
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.