Organization
EASTERN PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN R TAJERSTEIN (OWNER)
(718) 972-5000
Entity
Organization
Contact information
Practice address
3701 188TH ST SW, LYNNWOOD, WA 98037-7626
(718) 972-5000
Mailing address
2802 AVENUE P, BROOKLYN, NY 11229-1810
(718) 972-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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