Organization
ALAN TAJERSTEIN M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN TAJERSTEIN D.P.M. (OWNER)
(718) 972-5000
Entity
Organization
Contact information
Practice address
1468 E 10TH ST, BROOKLYN, NY 11230-6504
(718) 972-5000
(719) 972-3774
Mailing address
2802 AVENUE P, BROOKLYN, NY 11229-1810
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N004639-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004639-1
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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