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Individual

OLEG LATVINSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2705 MERMAID AVE, BROOKLYN, NY 11224-2005
(718) 265-2222
(718) 333-1023
Mailing address
2660 MILL AVE, BROOKLYN, NY 11234-6424
(718) 616-0137
(347) 374-4053

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005977
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02553735
NY
Enumeration date
08/01/2006
Last updated
04/28/2008
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