MEDICARE: ALEXANDER J MIRAGLIA 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	213ES0131X	Foot Surgery Podiatrist

General Provider Information

NPI Number	:	1518266022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER J MIRAGLIA PODIATRY, PLLC

Provider Business Mailing Address
First Line	:	7512 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-2410
Country	:	US
Telephone Number	:	718-680-0575
Fax Number	:	718-680-0590

Provider Business Practice Location Address
First Line	:	7512 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-2410
Country	:	US
Telephone Number	:	718-680-0575
Fax Number	:	718-680-0590

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. ALEXANDER JOSEPH MIRAGLIA
Credential	:	DPM
Telephone Number	:	718-680-0575

Provider Enumeration Date	:	03/23/2011
Last Update Date	:	08/02/2011

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