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General NPI Number Information
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NPI Number | 1437952819
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Entity Type | Individual
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Provider Name | EMILLEE VINOGRADSKY MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2101 ADELBERT RD
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City | CLEVELAND
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State | OH
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Zip | 44106-2624
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Country | US
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Telephone | 216-844-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 435 SILVER CREEK TRL
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City | KERNERSVILLE
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State | NC
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Zip | 27284-6509
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Country | US
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Telephone | 480-272-0198
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 57.258474
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License Number State | OH
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