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Organization
V. BAYSHTOK PHYSICIAN PC
Active
Organization
V. BAYSHTOK PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIY BAYSHTOK MD (MEDICAL DOCTOR)
(718) 896-5219
Entity
Organization
Contact information
Practice address
6536 99TH ST, REGO PARK, NY 11374-4358
(718) 896-5219
Mailing address
6536 99TH ST, REGO PARK, NY 11374-4358
(718) 896-5219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157463
NY
Other
Enumeration date
12/28/2011
Last updated
02/16/2012
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