# DR ANCHAL DUREJA DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114171717
- **Authorized official:** DR. ANCHAL DUREJA DPM (DPM)
- **Authorized official phone:** (516) 433-5435

## Contact information

- **Practice address:** 225 LEE AVE, HICKSVILLE, NY 11801-5845
- **Practice address phone:** (516) 433-5435
- **Mailing address:** 225 LEE AVE, HICKSVILLE, NY 11801-5845
- **Mailing address phone:** (516) 433-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006178 | NY | Yes |

## Other

- **Enumeration date:** 11/09/2008
- **Last updated:** 11/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02961457 | — | NY |