MEDICARE: DR. OLGA SHVETS 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	213E00000X	Podiatrist	006757	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	213ES0103X	Foot & Ankle Surgery Podiatrist	N006757	NY

General Provider Information

NPI Number	:	1689917981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLGA SHVETS D.P.M

Provider Business Mailing Address
First Line	:	446 BAY RIDGE PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-2702
Country	:	US
Telephone Number	:	718-748-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 CENTRAL PARK AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-1826
Country	:	US
Telephone Number	:	914-337-4900
Fax Number	:	914-337-5228

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

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	01/15/2024

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