Individual
DR. BETH VAYSHENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 164TH ST, PAVILION BUILDING, JAMAICA, NY 11432-1121
(646) 884-3274
Mailing address
8268 164TH ST, PAVILION BUILDING, JAMAICA, NY 11432-1121
(646) 884-3274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/10/2019
Last updated
12/10/2019
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