Most Relevant Information
Provider Data
| NPI Number: | 1003032418 |
| Provider Name: | DMITRY VAYNER |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 007261-1 |
Most Important Dates
| Enumeration Date: | 04/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
187 AVENUE U
BROOKLYN
NY
112233741
Practice Location Phone/Fax
| Phone: | 7183732020 |
| Fax: | 7182655309 |
Provider Mailing Location
187 AVENUE U
BROOKLYN
NY
112233741
Provider Mailing Phone/Fax
| Phone: | 7183732020 |
| Fax: | 7182655309 |