Individual
DR. ANISHA NIKKI RAJAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
120 LACONIA ST, LEXINGTON, MA 02420-2271
(818) 912-2419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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