Individual
MR. YEVGENY VAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
7602 5TH AVE, BROOKLYN, NY 11209-3304
(718) 238-2020
(718) 491-3147
Mailing address
7602 5TH AVE, BROOKLYN, NY 11209-3304
(718) 238-2020
(718) 491-3147
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008310-1
NY
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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