Organization
DR. MIROCHNIK PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYUDMILA MIROCHNIK DPM (OWNER)
(347) 413-2353
Entity
Organization
Contact information
Practice address
1869 83RD ST, LC, BROOKLYN, NY 11214-2947
(718) 232-2980
(718) 232-2981
Mailing address
264 ASPEN KNOLLS WAY, STATEN ISLAND, NY 10312-6634
(347) 413-2353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006172
NY
Other
Enumeration date
05/04/2011
Last updated
03/26/2012
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