Individual
ANAMIKA PATNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 MERRICK RD, SUITE 301, BALDWIN, NY 11510-3338
(516) 569-1396
(516) 569-1397
Mailing address
P O BOX 464, MERRICK, NY 11566
(516) 569-1396
(516) 569-1397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523646
—
NY
01
—
P3067939
OXFORD
NY
Enumeration date
06/22/2005
Last updated
10/21/2010
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