Ancion, Jean Herold

Ancion, Jean Herold is an sole proprietor health care provider with primary practice located at 4213 Church Ave , Brooklyn NY 11203-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ancion, Jean Herold can be contacted via phone (718) 287-0868.

Contact Information

Primary practice address
4213 Church Ave Brooklyn NY 11203-3011
Phone: (718) 287-0868
Fax: (718) 287-1375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 245310 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245310 New York

Profile Details

NPI number 1265609127
LBN Legal business name Ancion, Jean Herold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2008
Last updated May 13th, 2014 - about 11 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 1265609127 NPPES
New York MEDICAID 03054428

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