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Individual

OREN SAMUEL VAKNIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
53 E 124TH ST, NEW YORK, NY 10035-1815
(212) 410-8000
Mailing address
92 WALRAVEN DR APT 1B, TEANECK, NJ 07666-5118
(516) 456-5156

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TEMP
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
05/03/2021
Last updated
05/17/2023
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