Provider Demographics
NPI:1477610137
Name:ANDREW J. SZABO, MD, PLLC
Entity Type:Organization
Organization Name:ANDREW J. SZABO, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SZABO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-583-2816
Mailing Address - Street 1:860 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5856
Mailing Address - Country:US
Mailing Address - Phone:212-583-2816
Mailing Address - Fax:212-734-0382
Practice Address - Street 1:860 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5856
Practice Address - Country:US
Practice Address - Phone:212-583-2816
Practice Address - Fax:212-734-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095936174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY404646OtherUNITED HEALTH CARE
NY246AF1OtherEMPIRE BCBS PPO
NYP382697OtherOXFORD
NY2432720OtherCIGNA
NY00659623Medicaid
NY246AF1OtherEMPIRE BCBS PPO
NYWEV701Medicare PIN