Individual
MRS. SVETLANA VAYSBUKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SAMANTHA DR, MONROE, NJ 08831
(718) 840-9592
Mailing address
15 SAMANTHA DR, MONROE, NJ 08831
(718) 840-9592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
07/19/2016
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