Individual
PAMELA VAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, NEW YORK, NY 11206
(718) 963-8000
Mailing address
424 BEDFORD AVE APT 12D, BROOKLYN, NY 11249-6591
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062171
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
03/27/2023
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