Organization
LANA VORONIN PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA VORONIN MD (OWNER)
(347) 612-7441
Entity
Organization
Contact information
Practice address
626 SHEEPSHEAD BAY RD, BROOKLYN, NY 11224-3602
(347) 612-7441
Mailing address
626 SHEEPSHEAD BAY RD, BROOKLYN, NY 11224-3602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240849
LISCENCE
NY
Enumeration date
12/17/2019
Last updated
12/17/2019
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