Provider Demographics
NPI:1437745460
Name:VERA MALEZHIK DPM PC
Entity Type:Organization
Organization Name:VERA MALEZHIK DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST /PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEZHIK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-261-4291
Mailing Address - Street 1:26 BROADWAY STE 931
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1710
Mailing Address - Country:US
Mailing Address - Phone:917-261-4291
Mailing Address - Fax:917-594-4881
Practice Address - Street 1:26 BROADWAY STE 931
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1710
Practice Address - Country:US
Practice Address - Phone:917-261-4291
Practice Address - Fax:917-594-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty