# PROGRESSIVE PODIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639305659
- **Authorized official:** DR. EVAN BRETH D.P.M. (OWNER)
- **Authorized official phone:** (718) 251-0200

## Contact information

- **Practice address:** 702 8TH AVE, BROOKLYN, NY 11215-4259
- **Practice address phone:** (718) 251-0200
- **Practice address fax:** (718) 209-5697
- **Mailing address:** 2352 RALPH AVE, BROOKLYN, NY 11234-5515
- **Mailing address phone:** (718) 251-0200
- **Mailing address fax:** (714) 820-9569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2009
- **Last updated:** 06/04/2009