Individual
DR. ALEXANDER ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5005 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5563
(201) 865-3400
(201) 520-0040
Mailing address
146 34TH ST, UNION CITY, NJ 07087-5903
(201) 865-3400
(201) 766-3414
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00268900
NJ
213E00000X
Podiatrist
N005748-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00268900
NJ
213ES0131X
Foot Surgery Podiatrist
N005748-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056553
—
NJ
Enumeration date
09/15/2005
Last updated
11/01/2011
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