Provider Demographics
NPI:1033224639
Name:VAYSMAN, YURY (CFO)
Entity type:Individual
Prefix:
First Name:YURY
Middle Name:
Last Name:VAYSMAN
Suffix:
Gender:M
Credentials:CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 E 21ST ST
Mailing Address - Street 2:APT #2J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5050
Mailing Address - Country:US
Mailing Address - Phone:917-514-4760
Mailing Address - Fax:718-382-5500
Practice Address - Street 1:1660 E 21ST ST
Practice Address - Street 2:APT #2J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5050
Practice Address - Country:US
Practice Address - Phone:917-514-4760
Practice Address - Fax:718-382-5500
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies