Vaysman, Dmitriy
Vaysman, Dmitriy is an individual health care provider with primary practice located at 655 Deer Park Ave , Babylon NY 11702-1314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Vaysman, Dmitriy can be contacted via phone (631) 321-2100.Contact Information
Primary practice address
655 Deer Park Ave
Babylon NY 11702-1314
Phone: (631) 321-2100
Fax: (631) 321-2246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 221613 | New York |
Profile Details
| NPI number | 1245231232 |
|---|---|
| LBN Legal business name | Vaysman, Dmitriy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245231232 | NPPES |
| New York | MEDICAID | 02753455 |
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