Organization
NEW YORK JEWISH AMERICAN PODIATRY PRACTICE PLLC
Active
Organization
NEW YORK JEWISH AMERICAN PODIATRY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA VORONOVA DPM (MEMBER)
(718) 554-3862
Entity
Organization
Contact information
Practice address
3079 BRIGHTON 13TH ST FL 1, BROOKLYN, NY 11235
(718) 554-3862
(718) 554-0979
Mailing address
3079 BRIGHTON 13TH ST FL 1, BROOKLYN, NY 11235-5607
(718) 554-3862
(718) 554-0979
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005994-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N005994-1
NY
Other
Enumeration date
05/15/2018
Last updated
02/06/2020
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