Provider Demographics
NPI:1801891858
Name:ALSHANSKY, ANNA (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ALSHANSKY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1825 COMMERCE STREET
Mailing Address - Street 2:MOUNT KISCO MEDICAL GROUP PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-962-5060
Mailing Address - Fax:914-962-0527
Practice Address - Street 1:1825 COMMERCE STREET
Practice Address - Street 2:MOUNT KISCO MEDICAL GROUP PC
Practice Address - City:YORKTOWN HTS
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-962-5060
Practice Address - Fax:914-962-0527
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2013-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2094492080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02071772Medicaid
NY02071772Medicaid
NYA400074708Medicare PIN