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NPI Code Detail

MEDICARE: DR. YELENA VAYSMAN D.D.S.

MEDICARE:  DR. YELENA  VAYSMAN  D.D.S.
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
11223G0001XGeneral Practice Dentistry046719NY

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 : 1639224587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YELENA VAYSMAN D.D.S.
Provider Business Mailing Address
First Line : 2424 KINGS HWY
Second Line : 4F
City : BROOKLYN
State : NY
Zip : 11229-1669
Country : US
Telephone Number : 718-554-7798
Fax Number :
Provider Business Practice Location Address
First Line : 1201 OCEAN PKWY
Second Line : DENTAL OFFICE
City : BROOKLYN
State : NY
Zip : 11230-5153
Country : US
Telephone Number : 718-554-7798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 01/26/2026

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Directions to “ DR. YELENA VAYSMAN D.D.S.” Practice Location

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