Individual
ALEXANDER VAYSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
493 BEACH 20 STREET, FAR ROCKAWAY, NY 11691
(718) 327-6400
(718) 327-2218
Mailing address
204 COMBS AVE, WOODMERE, NY 11598-1456
(718) 327-6400
(718) 327-2218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01584418
—
NY
Enumeration date
05/04/2006
Last updated
07/08/2007
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