Provider Demographics
NPI:1417118357
Name:SHVETS, MARINA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:SHVETS
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 1:6584 AUSTIN ST
Mailing Address - Street 2:# 4U
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4622
Mailing Address - Country:US
Mailing Address - Phone:718-459-2431
Mailing Address - Fax:
Practice Address - Street 1:6584 AUSTIN ST
Practice Address - Street 2:4U
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4622
Practice Address - Country:US
Practice Address - Phone:718-459-2431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006120213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery