Provider Demographics
NPI:1366602898
Name:VAYNSHTEYN, VALERIYA (MD)
Entity type:Individual
Prefix:
First Name:VALERIYA
Middle Name:
Last Name:VAYNSHTEYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VALERIYA
Other - Middle Name:
Other - Last Name:IVANOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:45 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3402
Mailing Address - Country:US
Mailing Address - Phone:347-462-2559
Mailing Address - Fax:
Practice Address - Street 1:45 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3402
Practice Address - Country:US
Practice Address - Phone:347-462-2559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine