Individual
ANELLA N BAYSHTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 AVENUE X, BROOKLYN, NY 11235-2910
(718) 512-2160
Mailing address
2101 AVENUE X, BROOKLYN, NY 11235-2910
(718) 512-2160
(718) 891-8911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
159403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103566
—
NY
01
—
P00392928
RR MEDICARE
NY
Enumeration date
05/26/2006
Last updated
05/03/2012
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