MEDICARE: VALERIYA ANBINDER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	006912	NY

General Provider Information

NPI Number	:	1033590112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIYA ANBINDER D.P.M.

Provider Business Mailing Address
First Line	:	2601 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7745
Country	:	US
Telephone Number	:	718-616-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	CONEY ISLAND HOSPITAL
Second Line	:	2601 OCEAN PARKWAY
City	:	BROOKLYN
State	:	NY
Zip	:	11598
Country	:	US
Telephone Number	:	718-616-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2015
Last Update Date	:	12/13/2019

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