Organization
MAVEN PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL LAVIAN DPM (PRESIDENT)
(646) 535-9875
Entity
Organization
Contact information
Practice address
35 W 45TH ST FL 7, NEW YORK, NY 10036-4903
(646) 535-9875
Mailing address
29 OAKWOOD CIR, ROSLYN, NY 11576-1428
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
006389
NY
213ES0000X
Sports Medicine Podiatrist
006389
NY
213ES0131X
Foot Surgery Podiatrist
Primary
006389
NY
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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