MEDICARE: JOHN E HANDELSMAN M.D.,FRCS,MCH.ORTH

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	207X00000X	Orthopaedic Surgery Physician	130849	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4328456	OTHER	NY	AETNA PPO
2	0598779	OTHER	NY	GROUP HEALTH INC.
3	0361669	OTHER	NY	CIGNA
4	521601P	OTHER	NY	HIP
5	6833772	OTHER	NY	AETNA HMO
6	971G61	OTHER	NY	EMPIRE BLUE CROSS & BLUE SHIELD
7	AS905	OTHER	NY	OXFORD
8	521602	OTHER	NY	VYTRA
9	5C7408	OTHER	NY	HEALTHNET

General Provider Information

NPI Number	:	1104938174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E HANDELSMAN M.D.,FRCS,MCH.ORTH

Provider Business Mailing Address
First Line	:	2035 LAKEVILLE RD
Second Line	:	SUITE 300
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-1600
Country	:	US
Telephone Number	:	516-488-5885
Fax Number	:	516-492-3299

Provider Business Practice Location Address
First Line	:	1999 MARCUS AVE STE 200
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1021
Country	:	US
Telephone Number	:	516-467-8600
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/12/2021

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