Provider Demographics
NPI:1003896457
Name:ALERGANT, GREGORY (DPM)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:ALERGANT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 EAST 13 STREET
Mailing Address - Street 2:STE 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2887
Mailing Address - Country:US
Mailing Address - Phone:718-336-1200
Mailing Address - Fax:718-336-5270
Practice Address - Street 1:1829 EAST 13 STREET
Practice Address - Street 2:STE 1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2887
Practice Address - Country:US
Practice Address - Phone:718-336-1200
Practice Address - Fax:718-336-5270
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005331213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01957024Medicaid
NY01957024Medicaid
NYU75924Medicare UPIN