Provider Demographics
NPI:1316180904
Name:WAJNSZTAJN-THEIL, FLAVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLAVIA
Middle Name:
Last Name:WAJNSZTAJN-THEIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0809
Mailing Address - Country:US
Mailing Address - Phone:212-744-6700
Mailing Address - Fax:212-744-6799
Practice Address - Street 1:993 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0809
Practice Address - Country:US
Practice Address - Phone:212-744-6700
Practice Address - Fax:212-744-6799
Is Sole Proprietor?:No
Enumeration Date:2009-04-12
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270480207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology