Healthcare Provider Details

I. General information

NPI: 1326978313
Provider Name (Legal Business Name): FOOT AND ANKLE SURGEONS OF LONG ISLAND PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 NEW HYDE PARK RD STE 312
NEW HYDE PARK NY
11042-1214
US

IV. Provider business mailing address

3003 NEW HYDE PARK RD STE 312
NEW HYDE PARK NY
11042-1214
US

V. Phone/Fax

Practice location:
  • Phone: 516-492-3515
  • Fax:
Mailing address:
  • Phone: 516-492-3515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH ALENCHERRY
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 917-693-5061