Individual
DR. YANETH ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1200 GRAVESEND NECK RD, APT #1A, BROOKLYN, NY 11229-4256
(718) 332-3555
(718) 332-3516
Mailing address
8420 85TH AVE, WOODHAVEN, NY 11421-1217
(718) 805-6767
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987351
—
NY
Enumeration date
11/16/2005
Last updated
07/08/2007
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