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General NPI Number Information
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NPI Number | 1861023863
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SURGEONS OF NY PODIATRIC SURGICAL, PLLC
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 100 MANETTO HILL RD STE 103
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City | PLAINVIEW
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State | NY
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Zip | 11803-1311
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Country | US
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Telephone | 516-822-9595
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Fax | 516-822-9582
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Provider Business Mailing Address
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Address Line | 100 MANETTO HILL RD STE 103
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City | PLAINVIEW
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State | NY
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Zip | 11803-1311
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Country | US
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Telephone | 516-822-9595
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Fax | 516-822-9582
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JOSEPH ALENCHERRY
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Credential |
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Telephone | 917-693-5061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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