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NPI Code Detail

MEDICARE: MRS. VICTORIA VAYSMAN OTR/L

MEDICARE: MRS. VICTORIA VAYSMAN OTR/L
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
1225X00000XOccupational Therapist010346NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629164843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA VAYSMAN OTR/L
Provider Business Mailing Address
First Line : 458 BEACH 142 STR
Second Line :
City : ROCKAWAY PARK
State : NY
Zip : 11694
Country : US
Telephone Number : 347-727-2527
Fax Number :
Provider Business Practice Location Address
First Line : 2876 W 27TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2812
Country : US
Telephone Number : 718-265-2222
Fax Number : 718-333-1023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 01/08/2008

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Directions to “ MRS. VICTORIA VAYSMAN OTR/L” Practice Location

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