1265609127

Everything you always wanted to know about DR. ANCION HEROLD JEAN M.D. but were afraid to ask.

DR. ANCION HEROLD JEAN M.D.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. ANCION HEROLD JEAN M.D.
Gender:
Male
Enumeration date:
2008-05-09
Last update date:
2014-05-13
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
Yes
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Identifiers

identifier description issuer state active
03054428 Medicaid none NY 1
A400073452 Medicare PIN none NY 1

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine NY 245310
208M00000X Hospitalist NY 245310

Phone Numbers

Type Number
Mailing Address Telephone Number 9172049723
Practice Location Address Telephone Number 7182870868
Practice Location Address Fax Number 7182871375

Addresses

Type Address City State Postal Country
Mailing Address 10418 220TH ST QUEENS VILLAGE NY 11429 NY
Practice Location Address 4213 CHURCH AVE BROOKLYN NY 11203 NY

Other NPI Records that share a phone number

NPI Name Address State City
1831450881 OASIS MEDICAL CARE PC
Organization
10418 220TH ST NY QUEENS VILLAGE

Other NPI Records that share an address

NPI Name Address State City
1831450881 OASIS MEDICAL CARE PC
Organization
10418 220TH ST NY QUEENS VILLAGE