Organization
SHIRLEY A ANAIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN J. MELBER (MEDICAL PRACTICE MANAGER)
(716) 838-1333
Entity
Organization
Contact information
Practice address
4949 HARLEM RD, SUITE 302, AMHERST, NY 14226-2500
(716) 838-1333
(716) 835-5595
Mailing address
4949 HARLEM RD, SUITE 302, AMHERST, NY 14226-2500
(716) 838-1333
(716) 835-5595
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
187404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000511535003
BC/BS
NY
05
—
01382636
—
NY
01
—
040426000908
FIDELIS CARE
NY
01
—
1308585
INDEPENDENT HEALTH
NY
01
—
187404
STATE LICENSE
NY
Enumeration date
04/30/2010
Last updated
06/22/2010
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