Anderson, Dale
Anderson, Dale is an individual health care provider with primary practice located at 300 Community Dr , Manhasset NY 11030-3816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Anderson, Dale can be contacted via phone (516) 562-4887.Contact Information
Primary practice address
300 Community Dr
Manhasset NY 11030-3816
Phone: (516) 562-4887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 196182 | New York |
Profile Details
| NPI number | 1972509768 |
|---|---|
| LBN Legal business name | Anderson, Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 26th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972509768 | NPPES |
| New York | MEDICAID | 01521099 |
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