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NPI Code Detail

MEDICARE: MR. YAN VILENSKY R.PH.

MEDICARE:  MR. YAN  VILENSKY  R.PH.
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
1183500000XPharmacist044655NY

General Provider Information

NPI Number : 1215138896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YAN VILENSKY R.PH.
Provider Business Mailing Address
First Line : 542 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4804
Country : US
Telephone Number : 718-284-9800
Fax Number : 718-462-5303
Provider Business Practice Location Address
First Line : 542 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4804
Country : US
Telephone Number : 718-284-9800
Fax Number : 718-462-5303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 09/21/2007

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Directions to “ MR. YAN VILENSKY R.PH.” Practice Location

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