Healthcare Provider Details

I. General information

NPI: 1588599807
Provider Name (Legal Business Name): ROMAN VAYNSHTEYN CHIROPRACTIC DIAGNOSTICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 OCEANA DR W APT 8B
BROOKLYN NY
11235-6669
US

IV. Provider business mailing address

40 OCEANA DR W APT 8B
BROOKLYN NY
11235-6669
US

V. Phone/Fax

Practice location:
  • Phone: 347-232-4194
  • Fax:
Mailing address:
  • Phone: 917-482-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: ROMAN VAYNSHTEYN
Title or Position: PRESIDENT
Credential: DC
Phone: 917-482-8184