Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 006275 | NY |
N | 222Z00000X | Podiatrist | 006275 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 006275 | NY |
NPI | 1023279577 |
---|---|
Provider Name | Joseph Alencherry |
First Address | New Hyde Park, NY 11042-1206 |
Second Address | New Hyde Park, NY 11042-1206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03391866 | (05) | NY |