MEDICARE: DR. JEFFREY LESTER ADLER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N002927	NY

General Provider Information

NPI Number	:	1013910470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY LESTER ADLER D.P.M.

Provider Business Mailing Address
First Line	:	25 W 45TH ST
Second Line	:	STE 1407
City	:	NEW YORK
State	:	NY
Zip	:	10036-4902
Country	:	US
Telephone Number	:	212-704-4310
Fax Number	:	212-704-4311

Provider Business Practice Location Address
First Line	:	25 W 45TH ST
Second Line	:	STE 1407
City	:	NEW YORK
State	:	NY
Zip	:	10036-4902
Country	:	US
Telephone Number	:	212-704-4310
Fax Number	:	212-704-4311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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