Healthcare Provider Details
I. General information
NPI: 1033073010
Provider Name (Legal Business Name): VOYNOV MEDICAL PRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2322 BATH AVE
BROOKLYN NY
11214-5474
US
IV. Provider business mailing address
2322 BATH AVE
BROOKLYN NY
11214-5474
US
V. Phone/Fax
- Phone: 917-420-3240
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TZVETELINA
VOYNOVA
Title or Position: OWNER
Credential: MD
Phone: 917-420-3240