Individual
CHARITY VAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1547 212TH ST, BAYSIDE, NY 11360-1109
(646) 302-5880
Mailing address
1547 212TH ST, BAYSIDE, NY 11360-1109
(646) 302-5880
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310062-01
NY
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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