Keith G Ancona
M.D. | Pediatrics | Male
Keith G Ancona, M.D. is a Smithtown, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Keith G Ancona is
300 E Main St, Suite 5, Smithtown, New York - 11787-2900. He can be contacted on phone at
631-979-6466 and fax number 631-979-6475.
Keith G Ancona is a sole proprietor of his business.
NPI number (Unique professional ID) for Keith G Ancona is
1619934205 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 08 Jul, 2007.
Keith G Ancona license number is
221658 for Pediatrics (208000000X) in New York.
Keith G Ancona is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Keith G Ancona basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Keith G Ancona |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Keith G Ancona address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 E Main St, Suite 5
Smithtown, NY, 11787-2900
United States |
|---|
| Phone Number : | 631-979-6466 |
|---|
| Fax Number : | 631-979-6475 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619934205 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 Apr, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith G Ancona are as mentioned. Primary taxonomy code for Keith G Ancona, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 221658 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Keith G Ancona such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02413734 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Main St, Suite 5
Smithtown, NY, 11787-2900
United States |
|---|
| Phone Number : | 631-979-6466 |
|---|
| Fax Number : | 631-979-6475 |
|---|
Business Location:
Patients can refer following map for directions to
Keith G Ancona practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.