IGOR VAYSBAUM (NPI# 1154653293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154653293 |
| Entity Type | Individual |
| Full Name | IGOR VAYSBAUM |
| Credential | RPH |
| Practice Address |
1110 Pennsylvania Ave Suite #12 Brooklyn NY 11207-9003 |
| Practice Telephone | 7182578777 |
| Practice Fax Number | 7182578884 |
| Mailing Telephone | 7182578777 |
| Mailing Fax Number | 7182578884 |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2010-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047770 | NY | Pharmacy Service Providers |
| Street Address |
1110 PENNSYLVANIA AVE SUITE #12 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11207-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613416 | Natalia Blazhkevich | Dentist | 1110 Pennsylvania Ave, Suite 3, Brooklyn, NY 11207-9061 | 2005-10-19 |
| 1376093674 | Brookdale Rx Inc. | Pharmacy | 1110 Pennsylvania Ave, Brooklyn, NY 11207-9003 | 2016-10-11 |
| 1730638115 | 1110 Pennsylvania Avenue Medical Pllc | Clinic/Center | 1110 Pennsylvania Ave, Suite 5, Brooklyn, NY 11207-9003 | 2016-09-27 |
| 1154752236 | Pala Community Care LLC | Clinic/Center | 1110 Pennsylvania Ave, Brooklyn, NY 11207-9003 | 2013-11-27 |
| 1861724908 | Julia Stein | Pharmacist | 1110 Pennsylvania Ave, Suite #12, Brooklyn, NY 11207-9003 | 2010-01-30 |
| 1558533414 | Black Diamond Dental LLP | Dentist | 1110 Pennsylvania Ave, Suite 3, Brooklyn, NY 11207-9061 | 2008-03-31 |
| 1831231729 | Central Optometry PC | Optometrist | 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061 | 2007-02-14 |
| 1609950872 | Boris G Kogan | Dentist | 1110 Pennsylvania Ave, Suite#3, Brooklyn, NY 11207-9061 | 2006-10-24 |
| 1952349318 | Marina Novikova | Pediatrics | 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061 | 2006-06-04 |
| 1396792743 | Alla Glusker | Family Medicine | 1110 Pennsylvania Ave, Brooklyn, NY 11207 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817142 | Tajeet Singh | Licensed Practical Nurse | 174 East 51, Brooklyn, NY 11207 | 2018-10-18 |
| 1801306147 | Ebony Herring | Counselor | 2640 Pitkin Avenue, Brooklyn, NY 11207 | 2017-09-30 |
| 1780106153 | Ivonne Perry | Registered Nurse | 35 Mc Clancy Pl, Brooklyn, NY 11207 | 2017-07-07 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1003368333 | Alison Deborah Kahler | Social Worker | 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 | 2016-11-03 |
| 1942757836 | Melissa Santana | Counselor | Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 | 2016-09-08 |
| 1871943050 | Joan Murrell | Licensed Practical Nurse | 297 Bradford St, Brooklyn, NY 11207 | 2016-06-17 |
| 1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
| 1962877076 | Uche Rosario Oboh | Pharmacist | Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 | 2015-12-01 |
| 1467837997 | Dhalene Wharton | Licensed Practical Nurse | 540 Shefield Ave, Brooklyn, NY 11207 | 2015-07-27 |
| Find all providers in zip 11207 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| 1417563271 | Kareem Abdelhadi | Pharmacist | 482 E 2nd St, Brooklyn, NY 11218-4504 | 2020-09-17 |
| 1447862495 | Pamella Pisahov | Pharmacist | 1699 E 34th St, Brooklyn, NY 11234-4222 | 2020-08-20 |
| 1013527878 | Amanda Ye | Pharmacist | 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 | 2020-08-06 |
| 1710503891 | Sinai Marisol Polanco Diaz | Pharmacist | 28 Nichols Ave, Brooklyn, NY 11208-1510 | 2020-06-24 |
| 1588284541 | Melissa Aristide | Pharmacist | 1403 E 88th St, Brooklyn, NY 11236-5119 | 2020-04-20 |
| 1255960852 | Michelle Isabella Zeltser | Pharmacist | 2821 Batchelder St, Brooklyn, NY 11235-1897 | 2020-04-06 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.