Individual
DR. ANASUYA NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7915 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379
(718) 894-7900
(718) 894-7902
Mailing address
P.O. BOX 750782, FOREST HILLS, NY 11375
(718) 894-7900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
127983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777404
—
NY
Enumeration date
12/12/2006
Last updated
01/02/2013
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