# ANIE A CHERIAN D.P.M P.C.

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

## Provider details

- **NPI number:** 1134194426
- **Authorized official:** ANIE A CHERIAN D.P.M. (SOLE PROPRIETER)
- **Authorized official phone:** (917) 816-5078

## Contact information

- **Practice address:** 1775 RICHMOND AVE, STATEN ISLAND, NY 10314-3907
- **Practice address phone:** (917) 816-5078
- **Mailing address:** PO BOX 20280, STATEN ISLAND, NY 10302-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | N005013 | NY | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 06/25/2008