Individual
DR. EVAN BRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2352 RALPH AVE, BROOKLYN, NY 11234-5515
(718) 251-0200
(718) 209-5697
Mailing address
2352 RALPH AVE, BROOKLYN, NY 11234-5515
(718) 251-0200
(718) 209-5697
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N005657
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N005657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02063578
—
NY
Enumeration date
01/09/2006
Last updated
11/17/2008
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