Estrada, Alexander

Estrada, Alexander is an sole proprietor health care provider with primary practice located at 5005 Bergenline Ave , West New York NJ 07093-5563. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Estrada, Alexander can be contacted via phone (201) 865-3400.

Contact Information

Primary practice address
5005 Bergenline Ave West New York NJ 07093-5563
Phone: (201) 865-3400
Fax: (201) 520-0040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005748-1 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00268900 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00268900 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005748-1 New York

Profile Details

NPI number 1922093939
LBN Legal business name Estrada, Alexander
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922093939 NPPES
New Jersey MEDICAID 0056553

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