Individual
NELYA LOBKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
291 BROADWAY # 810, NEW YORK, NY 10007-1814
(212) 606-4065
Mailing address
2639 E 26TH ST, BROOKLYN, NY 11235-2419
(718) 753-9523
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006527
NY
213E00000X
Podiatrist
25MD00322200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03794305
—
NY
Enumeration date
07/04/2011
Last updated
11/15/2020
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