Provider Demographics
NPI:1831172139
Name:VAN AKEN, THOMAS L (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:VAN AKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-0424
Mailing Address - Country:US
Mailing Address - Phone:845-896-2544
Mailing Address - Fax:845-897-3376
Practice Address - Street 1:798 ROUTE 9
Practice Address - Street 2:STE A
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1394
Practice Address - Country:US
Practice Address - Phone:845-896-2544
Practice Address - Fax:845-896-2238
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1838532084P0800X
IAMD-423372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01227650Medicaid
E74691Medicare UPIN
NY70F961Medicare ID - Type Unspecified