Individual
ANISHA MAHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
STONY BROOK MEDICINE, STONY BROOK, NY 11794-8430
(631) 638-8517
Mailing address
STONY BROOK MEDICINE, STONY BROOK, NY 11794-8430
(631) 638-8517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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