Provider Demographics
NPI:1013910470
Name:ADLER, JEFFREY LESTER (DPM)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LESTER
Last Name:ADLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25 W 45TH ST
Mailing Address - Street 2:STE 1407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4902
Mailing Address - Country:US
Mailing Address - Phone:212-704-4310
Mailing Address - Fax:212-704-4311
Practice Address - Street 1:25 W 45TH ST
Practice Address - Street 2:STE 1407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4902
Practice Address - Country:US
Practice Address - Phone:212-704-4310
Practice Address - Fax:212-704-4311
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002927213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery