Provider Demographics
NPI:1861023863
Name:FOOT AND ANKLE SURGEONS OF NY PODIATRIC SURGICAL, PLLC
Entity Type:Organization
Organization Name:FOOT AND ANKLE SURGEONS OF NY PODIATRIC SURGICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALENCHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-693-5061
Mailing Address - Street 1:100 MANETTO HILL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1311
Mailing Address - Country:US
Mailing Address - Phone:516-822-9595
Mailing Address - Fax:516-822-9582
Practice Address - Street 1:100 MANETTO HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:516-822-9595
Practice Address - Fax:516-822-9582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty