Organization
ANIE A CHERIAN D.P.M P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIE A CHERIAN D.P.M. (SOLE PROPRIETER)
(917) 816-5078
Entity
Organization
Contact information
Practice address
1775 RICHMOND AVE, STATEN ISLAND, NY 10314-3907
(917) 816-5078
Mailing address
PO BOX 20280, STATEN ISLAND, NY 10302-0280
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
N005013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01469603
—
NY
Enumeration date
02/21/2006
Last updated
06/25/2008
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