Individual
GERALD ABRAHAM ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N MIDLAND AVE, NYACK, NY 10960-1627
(845) 358-5006
(845) 358-4340
Mailing address
311 N MIDLAND AVE, NYACK, NY 10960-1627
(845) 358-5006
(845) 358-4340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247141-1
NY
207RI0200X
Infectious Disease Physician
Primary
247141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03132643
—
NY
01
—
A300027192
MEDICARE PTAN
NY
Enumeration date
07/25/2008
Last updated
12/22/2011
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