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ANIL PRABHAKARAN PISHAROTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
92-29 QUEENS BLVD 1A, REGO PARK, NY 11374
(201) 339-1700
Mailing address
PO BOX 79, BAYONNE, NJ 07002-0079
(201) 339-1700
(201) 339-6972

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2040881
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
204088
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08047G
GROUP
NY
Enumeration date
08/29/2006
Last updated
07/03/2023
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