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VINCENT W ANSANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MANETTO HILL ROAD, SUITE 210, PLAINVIEW, NY 11803
(516) 938-4686
(516) 938-4722
Mailing address
100 MANETTO HILL ROAD, SUITE 210, PLAINVIEW, NY 11803
(516) 938-4686
(516) 938-4722

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
077169-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000076877
GHI HMO
01
0027454
GHI PPO
01
02004278
RAILROAD MEDICARE
01
131965P
HIP
01
1C6124
HEALTHNET
01
2173633
OXFORD AMB SURG GRP
01
26387
AETNA
01
AA72048
MDNY
01
ANC1635
OXFORD AMB SURG
01
AS1109
OXFORD
Enumeration date
08/14/2006
Last updated
07/08/2007
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