Individual
DR. DAVID ANSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6279
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6279
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
232830
NY
2084N0600X
Clinical Neurophysiology Physician
232830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581446
—
NY
01
—
566N11
EMPIRE BC/BS
NY
01
—
7981652
AETNA
NY
Enumeration date
05/25/2006
Last updated
06/11/2014
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