VITALY TERUSHKIN MD PLLC
NPI 1083397731
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since August 09, 2023
205 E 69TH ST APT 1C, NEW YORK, NY 10021(212) 249-2552(212) 772-7370 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vitaly Terushkin Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALY TERUSHKIN MD PLLC (NPI 1083397731) is a healthcare organization registered as a mohs-micrographic surgery in New York, New York and active in the NPI registry since August 2023. The organization lists Jeanmarie Foreman, Manager, as its authorized official.

NPPES Registry Identity

NPI1083397731
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameVITALY TERUSHKIN MD PLLC
Location Address205 E 69TH ST APT 1CNew York, NY 10021-5437
Mailing Address205 E 69th St Apt 1cNew York, NY 10021-5437 · (212) 249-2552 · Fax (212) 772-7370
Fax(212) 772-7370
Organization SubpartNo
Authorized OfficialJeanmarie ForemanManager · (212) 249-2552
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
NPI 1083397731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

205 E 69TH ST APT 1C, New York, NY 10021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
205 E 69TH ST APT 1C
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083397731, enumerated as an "organization" on August 09, 2023.

The provider is located at 205 E 69TH ST APT 1C NEW YORK, NY 10021 and the phone number is (212) 249-2552.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.