| Organization Name: | DR ANCHAL DUREJA DPM, PC |
| NPI Number: | 1114171717 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANCHAL DUREJA (DPM) |
| Mailing Address: | 225 Lee Ave Hicksville |
| State: | NY US |
| Postal Code: | 118015845 |
| Phone Number: | 5164335435 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2008 |
| NPI Last Update Date: | 11/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 006178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |