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Individual
DR. RENATA VAYSMAN
Active
Individual
DR. RENATA VAYSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02449154
MEDICAD #
NY
01
—
1285628552
AGENCY
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
09/15/2014
Last updated
01/29/2025
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