Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vitaly Terushkin MD PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1083397731

Vitaly Terushkin MD PLLC is an MOHS-Micrographic Surgery Physician in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 E 69th St Apt 1C
New York, NY 10021-5437
Phone: (212) 249-2552
Fax: (212) 772-7370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1083397731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanmarie Foreman — Manager · (212) 249-2552
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address205 E 69th St Apt 1c, New York, NY 10021-5437

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