| Doctor Name: | VADIM PLAXINE |
| NPI Number: | 1013296136 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 034047 |
| Business Practice Address: | 1580 Dahill Rd Brooklyn, NY - 112043537 |
| Business Phone Number: | 7183752505 |
| Business Fax Number: | 7183752472 |
| Mailing Address: | 2850 W 24th St Apt 15d, BROOKLYN |
| State: | NY |
| Postal Code: | 112242353 |
| Phone Number: | 7182590639 |
| Fax Number: | 7182590639 |
| NPI Enumeration Date: | 08/07/2011 |
| NPI Last Update Date: | 08/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 034047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |