Individual
DR. ANITA DILIP BHOLE'
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6311 FLY RD, EAST SYRACUSE, NY 13057-9346
(315) 234-9594
(315) 234-9598
Mailing address
5100 W TAFT RD, SUITE 2G, LIVERPOOL, NY 13088-3807
(315) 234-8977
(315) 234-8981
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1599461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00869392
—
NY
Enumeration date
01/11/2006
Last updated
07/08/2007
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