# ANAHID J. NISANIAN MD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508790650
- **Authorized official:** DR. ANAHID J NISANIAN MD (OWNER/MEDICAL DOCTOR)
- **Authorized official phone:** (917) 873-5894

## Contact information

- **Practice address:** 4330 48TH ST, SUNNYSIDE, NY 11104-1648
- **Practice address phone:** (718) 706-7658
- **Practice address fax:** (718) 706-1200
- **Mailing address:** 18 AVON RD, FARMINGDALE, NY 11735-2003
- **Mailing address phone:** (917) 873-5894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 06/11/2026