Ancheta, Gerald Abraham

Ancheta, Gerald Abraham is an sole proprietor health care provider with primary practice located at 311 N Midland Ave , Nyack NY 10960-1627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ancheta, Gerald Abraham can be contacted via phone (845) 358-5006.

Contact Information

Primary practice address
311 N Midland Ave Nyack NY 10960-1627
Phone: (845) 358-5006
Fax: (845) 358-4340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247141-1 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 247141 New York

Profile Details

NPI number 1023273380
LBN Legal business name Ancheta, Gerald Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2008
Last updated Dec 22nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023273380 NPPES
New York MEDICAID 03132643
New York Other A300027192

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