Individual
ANIL K RUSTGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 SAINT NICHOLAS AVE, NEW YORK, NY 10032-3802
(212) 851-4822
(212) 851-4660
Mailing address
1130 SAINT NICHOLAS AVE RM 201, NEW YORK, NY 10032-3802
(212) 851-4822
(212) 851-4660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299613
NY
207R00000X
Internal Medicine Physician
MD066015L
PA
207RG0100X
Gastroenterology Physician
Primary
299613
NY
207RG0100X
Gastroenterology Physician
MD066015L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017074250001
—
PA
Enumeration date
02/14/2007
Last updated
11/19/2024
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