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NPI Code Detail

MEDICARE: OLEG LATVINSKY DPM

MEDICARE: OLEG LATVINSKY DPM
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
1213E00000XPodiatristN005977NY

Other Identifiers

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

General Provider Information

NPI Number : 1073529731
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLEG LATVINSKY DPM
Provider Business Mailing Address
First Line : 2660 MILL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6424
Country : US
Telephone Number : 718-616-0137
Fax Number : 347-374-4053
Provider Business Practice Location Address
First Line : 2705 MERMAID AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2005
Country : US
Telephone Number : 718-265-2222
Fax Number : 718-333-1023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 04/28/2008

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Directions to “ OLEG LATVINSKY DPM” Practice Location

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