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

Mr. Vladislav Kuznetsov, PA

Individual provider Physician Assistant · NPI 1972741023

Mr. Vladislav Kuznetsov, PA is a Physician Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Ridge Loop
Staten Island, NY 10304-1403
Phone: (917) 836-7374
Fax: (718) 865-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007745 (NY)

Record details

NPI number1972741023
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 28, 2009
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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