Provider Demographics
NPI:1770978215
Name:CHANSKY, ANDREW ABBUHL (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:ABBUHL
Last Name:CHANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:59 W 10TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8757
Mailing Address - Country:US
Mailing Address - Phone:610-505-4679
Mailing Address - Fax:269-210-2506
Practice Address - Street 1:1 PARK AVE FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5802
Practice Address - Country:US
Practice Address - Phone:212-263-7419
Practice Address - Fax:269-210-2506
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2984562084P0800X
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program