Provider Demographics
NPI:1871237495
Name:ABBAGONI, VAIDARSHI (MD)
Entity type:Individual
Prefix:MISS
First Name:VAIDARSHI
Middle Name:
Last Name:ABBAGONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WATER ST FL 46
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-3211
Mailing Address - Country:US
Mailing Address - Phone:212-649-5555
Mailing Address - Fax:
Practice Address - Street 1:55 WATER ST FL 46
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10041-3211
Practice Address - Country:US
Practice Address - Phone:347-831-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2025-07-08
Deactivation Date:2023-01-18
Deactivation Code:
Reactivation Date:2023-01-24
Provider Licenses
StateLicense IDTaxonomies
NY337756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine