Individual
MR. DMITRY VAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 AVENUE U, BROOKLYN, NY 11223-3741
(718) 373-2020
(718) 265-5309
Mailing address
187 AVENUE U, BROOKLYN, NY 11223-3741
(718) 373-2020
(718) 265-5309
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007261-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01898264
—
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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