Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 255774 | NY |
N | 2086X0206X | Surgical Oncologist | MD456303 | PA |
NPI | 1104084441 |
---|---|
Provider Name | Dr. David N Anderson |
First Address | New York, NY 10029-6503 |
Second Address | New York, NY 10029-6503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 21/09/2020 |