Organization
AVL PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER VALENTINOVICH LAVRENOV D.P.M. (PRESIDENT)
(917) 687-7528
Entity
Organization
Contact information
Practice address
1401 ELM AVE, SUITE D, BROOKLYN, NY 11230-5945
(191) 768-7758
(718) 886-1413
Mailing address
1401 ELM AVE, SUITE D, BROOKLYN, NY 11230-5945
(917) 687-7528
(718) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006226
NY
Other
Enumeration date
05/22/2009
Last updated
10/17/2011
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