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Individual
DR. MARK VAYSMAN
Active
Individual
DR. MARK VAYSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023238
PROFFESIONAL LICENCE
NY
05
—
02324376
—
NY
01
—
06768G
GHI MEDICARE PROVIDER #
NY
Enumeration date
09/27/2006
Last updated
04/20/2016
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