AVL PODIATRY PC (NPI# 1780819557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780819557 |
| Entity Type | Organization |
| Organization Name | AVL PODIATRY PC |
| Practice Address |
1401 Elm Ave Suite D Brooklyn NY 11230-5945 |
| Practice Telephone | 1917687758 |
| Practice Fax Number | 7188861413 |
| Mailing Telephone | 9176877528 |
| Mailing Fax Number | 7188861413 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DR. ALEKSANDER VALENTINOVICH LAVRENOV (PRESIDENT) |
| Authorized Official Telephone | 9176877528 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
006226 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1401 ELM AVE SUITE D |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| 1497239792 | Junior Recardo King | Podiatrist | 596 Pennsylvania Ave, Brooklyn, NY 11207-6308 | 2018-09-21 |
| 1104350776 | Asher Wiederkehr | Podiatrist | 3714 Avenue P, Brooklyn, NY 11234-3426 | 2017-04-20 |
| 1215394051 | Blue Stone Podiatry Pllc | Podiatrist | 2546 E 13th St Apt B3, Brooklyn, NY 11235-4306 | 2016-01-25 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1760866651 | Jose Loor Dpm PC | Podiatrist | 125 Ashland Pl Apt 5d, Brooklyn, NY 11201-3926 | 2015-07-10 |
| 1033590112 | Valeriya Anbinder | Podiatrist | Coney Island Hospital, 2601 Ocean Parkway, Brooklyn, NY 11598 | 2015-06-15 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.