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Organization

SUNSHINE PEDIATRIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ILYA VAYNER M.D. (DOCTOR)
(718) 336-1111
Entity
Organization

Contact information

Practice address
1761 E 12TH ST, BROOKLYN, NY 11229-1013
(718) 336-1111
(718) 336-7576
Mailing address
1761 E 12TH ST, BROOKLYN, NY 11229-1013
(718) 336-1111
(718) 336-7576

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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