Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 1169211 | NY |
N | 208600000X | Surgeon | 1169211 | NY |
Y | 2086S0129X | Vascular Surgeon | 1169211 | NY |
NPI | 1093733255 |
---|---|
Provider Name | Dr. Eli Anker |
First Address | West Islip, NY 11795-4908 |
Second Address | West Islip, NY 11795-4908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 09/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00242493 | (05) | NY |
B12815 | (02) | NY |