Individual
ANJU AIREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2104 30TH AVE, ASTORIA, NY 11102-3332
(718) 278-4803
Mailing address
2104 30TH AVE, ASTORIA, NY 11102-3332
(718) 278-4803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
168823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01058039
—
NY
Enumeration date
02/24/2006
Last updated
07/08/2007
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