Provider Demographics
NPI:1073686960
Name:ANTHONY L BRITTIS MD PC
Entity Type:Organization
Organization Name:ANTHONY L BRITTIS MD PC
Other - Org Name:PROFESSIONAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRITTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:914-961-8833
Mailing Address - Street 1:18 STUDIO ARCADE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2631
Mailing Address - Country:US
Mailing Address - Phone:914-961-8833
Mailing Address - Fax:914-961-8810
Practice Address - Street 1:18 STUDIO ARCADE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2631
Practice Address - Country:US
Practice Address - Phone:914-961-8833
Practice Address - Fax:914-961-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070380207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY72063OtherUNITED HEALTHCARE
NY843301OtherEMPIRE
NY00257878Medicaid
NY0D0504OtherHEALTHNET
NY4216023OtherAETNA
NYWS870OtherOXFORD
NYWS870OtherOXFORD
NY4216023OtherAETNA