Provider Demographics
NPI:1518266022
Name:ALEXANDER J MIRAGLIA PODIATRY, PLLC
Entity Type:Organization
Organization Name:ALEXANDER J MIRAGLIA PODIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MIRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-680-0575
Mailing Address - Street 1:7512 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2410
Mailing Address - Country:US
Mailing Address - Phone:718-680-0575
Mailing Address - Fax:718-680-0590
Practice Address - Street 1:7512 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2410
Practice Address - Country:US
Practice Address - Phone:718-680-0575
Practice Address - Fax:718-680-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty