MEDICARE: ALINA VAYSBURD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	2575558	NY

General Provider Information

NPI Number	:	1699140913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA VAYSBURD

Provider Business Mailing Address
First Line	:	2724 DEER ST
Second Line	:
City	:	MOHEGAN LAKE
State	:	NY
Zip	:	10547-2018
Country	:	US
Telephone Number	:	347-605-9048
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 DEER ST
Second Line	:
City	:	MOHEGAN LAKE
State	:	NY
Zip	:	10547-2018
Country	:	US
Telephone Number	:	347-605-9048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2015
Last Update Date	:	01/25/2016

Similar Medicare Providers

1679566368 — KATHLEEN KAY TOBEY LP LMFT
Practice Location Address:

17 1/2 N LAKE AVE RM 201
DULUTH, MN
55802-2018

Practice Phone: 218-740-4389
Practice Fax: 218-740-4389

1760537625 — EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice Location Address:

2008 WILLOWICK ST
LAKE CHARLES, LA
70607-2018

Practice Phone: 337-474-6837
Practice Fax:

1942425897 — ASSISTED LIVING OF WALL TOWNSHIP, LLC
Practice Location Address:

2018 STATE ROUTE 35
SPRING LAKE, NJ
07762-2558

Practice Phone: 732-282-1014
Practice Fax: 732-282-1050

1013125855 — GLENN HOWARD TOBEY LICSW
Practice Location Address:

17 1/2 N LAKE AVE RM 201
DULUTH, MN
55802-2018

Practice Phone: 218-740-4389
Practice Fax: 218-740-4389

1104109263 — DR. MAYA BRADY O.D.
Practice Location Address:

2018 HIGHWAY 71 STE 1
SPRING LAKE, NJ
07762-2296

Practice Phone: 732-359-8080
Practice Fax: 732-359-8383

1750773974 — SHORE EYE ASSOCIATES PA
Practice Location Address:

2018 HWY 71 , SUITE 1
SPRING LAKE, NJ
07762-2296

Practice Phone: 732-359-8380
Practice Fax:

Directions to “ ALINA VAYSBURD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.