Individual
DR. ANITA POONAM CHITNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3076
Mailing address
12715 LAUREL GROVE WAY, FAIRFAX, VA 22033
(571) 331-0426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401418318
VA
1223G0001X
General Practice Dentistry
4675
WV
1223G0001X
General Practice Dentistry
DS043100
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
07/17/2024
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