Organization
ANANDA & POULOSE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAMA ANANDA MD (MD)
(516) 739-7290
Entity
Organization
Contact information
Practice address
190 WILLIS AVE, SUITE 210, MINEOLA, NY 11501-2649
(516) 739-7290
(516) 739-7291
Mailing address
190 WILLIS AVE, SUITE 210, MINEOLA, NY 11501-2649
(516) 739-7290
(516) 739-7291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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