AVL PODIATRY PC NPI 1780819557

NPI Information

  • NPI: 1780819557
  • Provider Name: AVL PODIATRY PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1401 ELM AVE
    SUITE D
    BROOKLYN, NY
    ZIP 11230
  • Phone: (191) 768-7758

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NPI Details

AVL PODIATRY PC is a foot and ankle surgery podiatrist in Brooklyn, NY. AVL PODIATRY PC NPI is 1780819557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 ELM AVE
SUITE D
BROOKLYN, NY
ZIP 11230-945
Phone: (191) 768-7758
Fax: (718) 886-1413

The provider's authorized official is Aleksander Valentinovich Lavrenov .
The authorized official title is President and has the following contact phone number (917) 687-7528.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 10/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery006226NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16330200001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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