Individual
MICHAEL ANTHONY ERDEK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
410 LAKEVILLE RD STE 212, NEW HYDE PARK, NY 11042-1122
(718) 470-4198
Mailing address
410 LAKEVILLE RD STE 212, NEW HYDE PARK, NY 11042-1122
(718) 470-4198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D54966
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D54966
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
319405-01
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
D54966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
996301400
—
MD
Enumeration date
07/07/2006
Last updated
10/25/2023
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