MEDICARE: ANDREW ABBUHL CHANSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	MD461600	PA
2	2084P0800X	Psychiatry Physician	25MA12430400	NJ
3	2084P0800X	Psychiatry Physician	MD461600	PA
4	2084P0802X	Addiction Psychiatry Physician	298456	NY
5	2084P0800X	Psychiatry Physician	298456	NY
6	2084P0802X	Addiction Psychiatry Physician	25MA12430400	NJ

General Provider Information

NPI Number	:	1770978215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW ABBUHL CHANSKY M.D.

Provider Business Mailing Address
First Line	:	303 5TH AVE RM 608
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-6652
Country	:	US
Telephone Number	:	484-324-8357
Fax Number	:	269-210-2506

Provider Business Practice Location Address
First Line	:	303 5TH AVE RM 608
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-6652
Country	:	US
Telephone Number	:	484-324-8357
Fax Number	:	269-210-2506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	02/06/2026

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