Individual
ANISA BUCCELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 W 14TH ST, NEW YORK, NY 10011-7201
(212) 601-1800
Mailing address
226 W 14TH ST, NEW YORK, NY 10011-7201
(212) 601-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
339295
NY
Other
Enumeration date
04/12/2022
Last updated
09/11/2025
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