MEDICARE: A PODIATRIC CARE PC

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	213ES0131X	Foot Surgery Podiatrist	N006082	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053343640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PODIATRIC CARE PC

Provider Business Mailing Address
First Line	:	2844 OCEAN PKWY STE 6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7904
Country	:	US
Telephone Number	:	718-946-8586
Fax Number	:	718-697-7463

Provider Business Practice Location Address
First Line	:	2844 OCEAN PKWY STE 6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7904
Country	:	US
Telephone Number	:	718-946-8585
Fax Number	:	718-697-7463

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SVETLANA LUVISH
Credential	:	DPM
Telephone Number	:	718-946-8586

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2024

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Directions to “A PODIATRIC CARE PC ” Practice Location

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