Individual
MRS. TANYA VAYSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
153 E 87TH ST APT 1B, NEW YORK, NY 10128-2701
(212) 360-0835
Mailing address
129 E 61ST ST APT 6, NEW YORK, NY 10021-8101
(212) 360-0835
(212) 360-0837
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0508491
NY
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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