Individual
DR. ALAN R TAJERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1468 E 10TH ST, BROOKLYN, NY 11230-6504
(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
25MD00244000
NJ
213E00000X
Podiatrist
Primary
N004639
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01151000
—
NY
Enumeration date
09/29/2005
Last updated
11/30/2016
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