Individual
DR. ANJALI POURNIMA BHARATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
56-45 MAIN STREET, FLUSHING, NY 11355
(718) 670-1231
Mailing address
93 DEMAREST MILL RD, WEST NYACK, NY 10994
(845) 664-0130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
249255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03022240
—
NY
01
—
G400000964
MEDICARE
NY
Enumeration date
07/10/2008
Last updated
06/25/2009
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