Basic Information
Provider Information
NPI: 1740556133
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VAPNYAR
FirstName: VICTORIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 55TH ST
Address2: LUTHERAN MEDICAL CENTER, DEPT OF MEDICINE
City: BROOKLYN
State: NY
PostalCode: 112202508
CountryCode: US
TelephoneNumber: 7186307000
FaxNumber:  
Practice Location
Address1: 600 E 233RD ST
Address2:  
City: BRONX
State: NY
PostalCode: 104662604
CountryCode: US
TelephoneNumber: 7189209562
FaxNumber: 7189209036
Other Information
ProviderEnumerationDate: 03/29/2012
LastUpdateDate: 10/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X280434NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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