Individual
ANI POLITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
440 W END AVE, NEW YORK, NY 10024-5358
(212) 724-6047
Mailing address
440 W END AVE, NEW YORK, NY 10024-5358
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
25MA04205100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA04205100
BOARD OF MEDICAL EXAMINER
NJ
Enumeration date
09/24/2007
Last updated
09/24/2007
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