NPI Code Details Logo

NPI 1770978215

NPI 1770978215 : ANDREW ABBUHL CHANSKY M.D. : NEW YORK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770978215
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREW ABBUHL CHANSKY M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2015
-----------------------------------------------------
    Last Update Date     |    02/06/2026
-----------------------------------------------------

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

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

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    MD461600
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    25MA12430400
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    MD461600
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    298456
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    298456
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    25MA12430400
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.