Provider Demographics
NPI:1104938174
Name:HANDELSMAN, JOHN E (MD,FRCS,MCHORTH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:HANDELSMAN
Suffix:
Gender:M
Credentials:MD,FRCS,MCHORTH
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:2035 LAKEVILLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1600
Mailing Address - Country:US
Mailing Address - Phone:516-488-5885
Mailing Address - Fax:516-492-3299
Practice Address - Street 1:1999 MARCUS AVE STE 200
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1021
Practice Address - Country:US
Practice Address - Phone:516-467-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY130849207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4328456OtherAETNA PPO
NY0598779OtherGROUP HEALTH INC.
NY0361669OtherCIGNA
NY521601POtherHIP
NY6833772OtherAETNA HMO
NY971G61OtherEMPIRE BLUE CROSS & BLUE SHIELD
NYAS905OtherOXFORD
NY521602OtherVYTRA
NY5C7408OtherHEALTHNET
NYB88886Medicare UPIN
NY333811Medicare PIN