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Individual

DR. MARK VAYNKHADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1502 E 14TH ST, SUITE #2, BROOKLYN, NY 11230-7283
(347) 541-6241
(718) 764-1229
Mailing address
1502 E 14TH ST STE 2, BROOKLYN, NY 11230-7148
(347) 541-6241

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
245029
NY
207VG0400X
Gynecology Physician
245029
NY
207VX0000X
Obstetrics Physician
245029
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245029
NY STATE LICENSE
Enumeration date
08/15/2007
Last updated
09/06/2024
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