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NPI Code Detail

MEDICARE: DR. ALINA VASILYEVA D.P.M.

MEDICARE: DR. ALINA VASILYEVA 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
1213ES0131XFoot Surgery PodiatristN006046NY

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 : 1801861265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALINA VASILYEVA D.P.M.
Provider Business Mailing Address
First Line : 1806 VOORHIES AVE
Second Line : #1B
City : BROOKLYN
State : NY
Zip : 11235-3648
Country : US
Telephone Number : 646-894-4168
Fax Number : 718-331-6720
Provider Business Practice Location Address
First Line : 2116 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1507
Country : US
Telephone Number : 718-338-1616
Fax Number : 718-338-1898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 04/25/2014

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