Individual
DR. DMITRY BORISOVICH ANISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 EMERSON PL, 1, BROOKLYN, NY 11205-2604
(646) 379-8047
(212) 420-2181
Mailing address
104 EMERSON PL, 1, BROOKLYN, NY 11205-2604
(646) 379-8047
(212) 420-2181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
259966
NY
2084P0802X
Addiction Psychiatry Physician
Primary
259966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03063247
—
NY
Enumeration date
09/03/2008
Last updated
07/23/2012
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