Healthcare Provider Details

I. General information

NPI: 1073686960
Provider Name (Legal Business Name): ANTHONY L BRITTIS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 STUDIO ARCADE
BRONXVILLE NY
10708-2631
US

IV. Provider business mailing address

18 STUDIO ARCADE
BRONXVILLE NY
10708-2631
US

V. Phone/Fax

Practice location:
  • Phone: 914-961-8833
  • Fax: 914-961-8810
Mailing address:
  • Phone: 914-961-8833
  • Fax: 914-961-8810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number070380
License Number StateNY

VIII. Authorized Official

Name: ANTHONY L BRITTIS
Title or Position: PRESIDENT
Credential: MD PC
Phone: 914-961-8833