Individual
DR. ANIL SISHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 DIVISION AVE, LEVITTOWN, NY 11756-2919
(516) 274-0101
Mailing address
1 3RD AVE APT 908, MINEOLA, NY 11501-4349
(908) 328-5263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061208
NY
Other
Enumeration date
02/13/2019
Last updated
11/30/2022
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