Organization
HAPPY & HEALTHY FEET PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILVIRA ISYANOVA DPM (DIRECTOR)
(917) 620-9187
Entity
Organization
Contact information
Practice address
665 OCEAN PKWY, #2F, BROOKLYN, NY 11230-1195
(718) 934-2211
(718) 934-2225
Mailing address
57 HARRISON ST, HAWORTH, NJ 07641-1920
(718) 934-2211
(718) 934-2225
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300070879
MEDICARE DOWNSTATE
NY
Enumeration date
08/01/2012
Last updated
08/01/2012
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