Provider Demographics
NPI:1649437682
Name:ANTHONY, DAVID ROBERT (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROBERT
Last Name:ANTHONY
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 KISH HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9602
Practice Address - Country:US
Practice Address - Phone:815-766-7334
Practice Address - Fax:815-766-9768
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY254828207P00000X
IL036140404207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine