Individual
ANMOL SHARMA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 46TH AVE, LONG ISLAND CITY, NY 11101-5245
(980) 345-9661
Mailing address
225 E 47TH ST APT 2D, NEW YORK, NY 10017-2114
(980) 345-9661
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
031051
NY
363A00000X
Physician Assistant
Primary
031051
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
03/12/2026
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