Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006120 | NY |
NPI | 1417118357 |
---|---|
Provider Name | Dr. Marina Shvets |
First Address | Rego Park, NY 11374-4622 |
Second Address | Rego Park, NY 11374-4622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 01/04/2021 |