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NPI Code Detail

MEDICARE: DR. MARK VAYNKHADLER M.D.

MEDICARE: DR. MARK VAYNKHADLER M.D.
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
1207VG0400XGynecology Physician245029NY
2207VX0000XObstetrics Physician245029NY
3207V00000XObstetrics & Gynecology Physician245029NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1245029OTHERNY STATE LICENSE

General Provider Information

NPI Number : 1548452352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK VAYNKHADLER M.D.
Provider Business Mailing Address
First Line : 1502 E 14TH ST STE 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7148
Country : US
Telephone Number : 347-541-6241
Fax Number :
Provider Business Practice Location Address
First Line : 1502 E 14TH ST
Second Line : SUITE #2
City : BROOKLYN
State : NY
Zip : 11230-7283
Country : US
Telephone Number : 347-541-6241
Fax Number : 718-764-1229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 09/06/2024

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