Organization
PROGRESSIVE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN BRETH DPM (OWNER)
(718) 251-0200
Entity
Organization
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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03425601
—
NY
Enumeration date
11/17/2008
Last updated
04/10/2012
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