Organization
EASTERN PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN TAJERSTEIN DPM (OWNER)
(718) 972-5000
Entity
Organization
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(718) 972-5000
(718) 972-3774
Mailing address
2802 AVENUE P, BROOKLYN, NY 11229-1810
(718) 972-5000
(718) 972-3774
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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