MEDICARE: FOOT AND ANKLE SURGEONS OF LONG ISLAND PODIATRY PLLC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

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

Provider Business Mailing Address
First Line	:	3003 NEW HYDE PARK RD STE 312
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1214
Country	:	US
Telephone Number	:	516-492-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 NEW HYDE PARK RD STE 312
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1214
Country	:	US
Telephone Number	:	516-492-3515
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JOSEPH ALENCHERRY
Credential	:	DPM
Telephone Number	:	917-693-5061

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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