# AVL PODIATRY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780819557
- **Authorized official:** DR. ALEKSANDER VALENTINOVICH LAVRENOV D.P.M. (PRESIDENT)
- **Authorized official phone:** (917) 687-7528

## Contact information

- **Practice address:** 1401 ELM AVE, SUITE D, BROOKLYN, NY 11230-5945
- **Practice address phone:** (191) 768-7758
- **Practice address fax:** (718) 886-1413
- **Mailing address:** 1401 ELM AVE, SUITE D, BROOKLYN, NY 11230-5945
- **Mailing address phone:** (917) 687-7528
- **Mailing address fax:** (718) 886-1413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006226 | NY | Yes |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 10/17/2011