Organization
1 WISE PODIATRY CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA VORONOVA D.P.M. (PRESIDENT)
(718) 554-3862
Entity
Organization
Contact information
Practice address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 554-3862
(718) 554-0979
Mailing address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 554-3862
(718) 554-0979
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005994
NY
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03015047
—
NY
Enumeration date
07/20/2006
Last updated
02/06/2020
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