Provider Demographics
NPI:1225115801
Name:STROGOV, EMILIA (DPM)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:
Last Name:STROGOV
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2934
Mailing Address - Country:US
Mailing Address - Phone:718-436-4306
Mailing Address - Fax:718-435-5817
Practice Address - Street 1:1068 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2934
Practice Address - Country:US
Practice Address - Phone:718-436-4306
Practice Address - Fax:718-435-5817
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003321-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP35451Medicare ID - Type Unspecified
NYT51057Medicare UPIN