Provider Demographics
NPI:1124746193
Name:ALLEVIATE FOOT AND ANKLE CENTER
Entity type:Organization
Organization Name:ALLEVIATE FOOT AND ANKLE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:FARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLOT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:203-937-7700
Mailing Address - Street 1:57 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2315
Mailing Address - Country:US
Mailing Address - Phone:203-937-7700
Mailing Address - Fax:
Practice Address - Street 1:57 HIGH ST
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2315
Practice Address - Country:US
Practice Address - Phone:203-937-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty