Healthcare Provider Details

I. General information

NPI: 1053247650
Provider Name (Legal Business Name): ANEVA HEALTH MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 GROVE AVE STE 109
CEDARHURST NY
11516-2302
US

IV. Provider business mailing address

123 GROVE AVE STE 109
CEDARHURST NY
11516-2302
US

V. Phone/Fax

Practice location:
  • Phone: 516-400-8050
  • Fax:
Mailing address:
  • Phone: 516-400-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YEHUDA SCHILLER
Title or Position: PRESIDENT
Credential:
Phone: 816-400-8050