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Organization
MODERN PODIATRY PC
Active
Organization
MODERN PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA VERZUB DPM (OWNER)
(917) 751-8586
Entity
Organization
Contact information
Practice address
1075 OCEAN PKWY, MEDICAL OFFICE, BROOKLYN, NY 11230-4056
(917) 751-8586
Mailing address
1075 OCEAN PKWY, MEDICAL OFFICE, BROOKLYN, NY 11230-4056
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006148
NY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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