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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487407540

Taisa Vasilkova, DO is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1899
Phone: (315) 448-5111
Fax: (315) 448-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487407540
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESJuly 9, 2026
Certification dateApril 9, 2024
Mailing address301 Prospect Ave, Syracuse, NY 13203-1899

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