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Dr. Douglas John Anderson, MD
Prescribing (Medical) Psychologist in New York, New York
NPI 1497954572

Douglas John Anderson is a Prescribing (Medical) Psychologist based in New York, NY and is specialized in Prescribing (Medical). Douglas John Anderson practices in New York, NY and has the professional credentials of MD. The NPI Number for Douglas John Anderson is 1497954572 and holds a License No. 108132 (New York).

The current practice location address for Douglas John Anderson is 500 5Th Ave, New York, NY and can be reached out via phone at 212-764-9083 and via fax at 212-764-0306.

Location: 500 5Th Ave, New York, NY, 10110-0002
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Provider Profile Details
NPI Number
1497954572
Provider Name
Douglas John Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 5Th Ave, New York, NY, 10110-0002
Phone Number
212-764-9083
Fax Number
212-764-0306
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34H221 01 NY EMPIRE BLUE CROSS & BLUE
institution
Provider Business Practice Location Address Details
Address
500 5Th Ave
City
State
Zip
10110-0002
Phone Number
212-764-9083
Fax Number
212-764-0306
person
Provider Business Mailing Address Details
Address
500 5Th Ave
City
State
Zip
10110-0002
Phone Number
212-764-9083
Fax Number
212-764-0306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
License No.
108132 (New York)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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