Individual
DR. ILYA ELLIOT VAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3767 RICHMOND AVE, STATEN ISLAND, NY 10312-3827
(718) 966-5777
(718) 605-3183
Mailing address
3767 RICHMOND AVENUE, STATEN ISLAND, NY 10312
(718) 966-5777
(718) 605-3183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386987
—
NY
Enumeration date
09/05/2006
Last updated
08/21/2023
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