Individual
ANUSHA ROSANNE FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
75 WALL ST APT 30C, NEW YORK, NY 10005-3161
(914) 450-6728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
249574
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
FF0964848
NY
Other
Enumeration date
07/22/2008
Last updated
01/16/2026
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