Individual
DR. LYUDMILA PORETSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2379 65TH ST, BROOKLYN, NY 11204-4045
(718) 375-0392
(718) 375-4324
Mailing address
2379 65TH STREET, BROOKLYN, NY 11204
(718) 375-0392
(718) 375-4324
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
208817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883843
—
NY
Enumeration date
07/13/2006
Last updated
11/03/2009
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