Individual
ANITA VENKATESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 844-8100
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325139
NY
Other
Enumeration date
04/27/2020
Last updated
08/07/2024
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