Organization
ELI ANKER M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELI ANKER M.D. (CEO)
(631) 422-0909
Entity
Organization
Contact information
Practice address
754 MONTAUK HWY, WEST ISLIP, NY 11795-4908
(631) 422-0909
(631) 422-6660
Mailing address
PO BOX 70, 754 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-0070
(631) 422-0909
(631) 422-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD116921
NY
2086S0129X
Vascular Surgery Physician
Primary
MD116921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00242493
—
NY
01
—
10313
VYTRA
NY
01
—
1042023
UNITED HEALTHCARE
NY
01
—
20042896
RAILROAD MEDICARE
NY
01
—
CS209
OXFORD
NY
Enumeration date
09/06/2006
Last updated
03/27/2008
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