Provider Demographics
NPI:1063879344
Name:ALAM PODIATRY, P.C.
Entity type:Organization
Organization Name:ALAM PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-412-8869
Mailing Address - Street 1:10 EMPIRE CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6704
Mailing Address - Country:US
Mailing Address - Phone:917-412-8869
Mailing Address - Fax:
Practice Address - Street 1:16605 HIGHLAND AVE
Practice Address - Street 2:SUITE L1
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2640
Practice Address - Country:US
Practice Address - Phone:347-509-4470
Practice Address - Fax:646-845-1861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006644213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty