MEDICARE: DR. LANA VORONIN M.D

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	208000000X	Pediatrics Physician	60-240849	NY

General Provider Information

NPI Number	:	1699987222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANA VORONIN M.D

Provider Business Mailing Address
First Line	:	1445 ROYCE ST
Second Line	:	APT 2-C
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5935
Country	:	US
Telephone Number	:	718-375-0237
Fax Number	:

Provider Business Practice Location Address
First Line	:	2966 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3202
Country	:	US
Telephone Number	:	718-934-5065
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	02/07/2009

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