Individual
ANITA KRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3117 DITMARS BLVD, ASTORIA, NY 11105-2300
(718) 274-4040
(718) 726-6414
Mailing address
11 CARROL PL, GREENLAWN, NY 11740-2729
(631) 793-4758
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007227-01
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N007227-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07903877
—
NY
Enumeration date
04/03/2019
Last updated
09/10/2024
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