# SUNSHINE PEDIATRIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316367808
- **Authorized official:** DR. ILYA VAYNER M.D. (DOCTOR)
- **Authorized official phone:** (718) 336-1111

## Contact information

- **Practice address:** 1761 E 12TH ST, BROOKLYN, NY 11229-1013
- **Practice address phone:** (718) 336-1111
- **Practice address fax:** (718) 336-7576
- **Mailing address:** 1761 E 12TH ST, BROOKLYN, NY 11229-1013
- **Mailing address phone:** (718) 336-1111
- **Mailing address fax:** (718) 336-7576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 04/23/2014