Individual
MR. AL D. ANSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,OTR,P.C.
Contact information
Practice address
14 BRISTOL CT, WHEATLEY HEIGHTS, NY 11798-1502
(631) 254-6504
Mailing address
14 BRISTOL CT, WHEATLEY HEIGHTS, NY 11798-1502
(631) 254-6504
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
003210-1
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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