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Organization
PARKWAY MEDICAL GROUP PLLC
Active
Organization
PARKWAY MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA VAYNTRUB MD (PARTNER)
(718) 613-1600
Entity
Organization
Contact information
Practice address
391 EASTERN PKWY, BROOKLYN, NY 11216-4153
(718) 613-1600
(718) 613-1666
Mailing address
391 EASTERN PKWY, BROOKLYN, NY 11216-4153
(718) 613-1600
(718) 613-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218887
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02109671
—
NY
Enumeration date
04/03/2006
Last updated
08/22/2020
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