Individual
ANISH KANESA-THASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
269-01 76TH AVENUE, NEW HYDE, NY 11030
(718) 470-3206
Mailing address
269-01 76TH AVENUE, NEW HYDE, NY 11030
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
05/13/2022
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