MEDICARE: ANNA ALSHANSKY 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	2080P0006X	Developmental - Behavioral Pediatrics Physician	209449	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801891858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA ALSHANSKY M.D.

Provider Business Mailing Address
First Line	:	1825 COMMERCE STREET
Second Line	:	MOUNT KISCO MEDICAL GROUP PC
City	:	MOUNT KISCO
State	:	NY
Zip	:	10598
Country	:	US
Telephone Number	:	914-962-5060
Fax Number	:	914-962-0527

Provider Business Practice Location Address
First Line	:	1825 COMMERCE STREET
Second Line	:	MOUNT KISCO MEDICAL GROUP PC
City	:	YORKTOWN HTS
State	:	NY
Zip	:	10598
Country	:	US
Telephone Number	:	914-962-5060
Fax Number	:	914-962-0527

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	09/25/2013

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