Individual
FABLIHA MASNOON ANBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
806 E MAIN ST, RIVERHEAD, NY 11901-2563
(469) 879-9458
Mailing address
806 E MAIN ST, RIVERHEAD, NY 11901-2563
(469) 879-9458
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
N007151
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N007151
NY
Other
Enumeration date
04/26/2018
Last updated
12/10/2022
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