Individual
MRS. YELENA DREYZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
120 ELGAR PL BLDG 34, BRONX, NY 10475-5103
(718) 708-6121
(718) 708-5381
Mailing address
2420 HUNTER AVE, APT # 9E, BRONX, NY 10475-5626
(718) 708-6121
(718) 708-5381
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00268700
NJ
213E00000X
Podiatrist
Primary
N005747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02264217
—
NY
05
—
8821003
—
NJ
Enumeration date
07/08/2005
Last updated
09/21/2016
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