Individual
MS. ANAHID J NISANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
332 DEKALB AVE, BROOKLYN, NY 11205-3820
(718) 852-5252
(718) 802-1113
Mailing address
381 5TH ST, BROOKLYN, NY 11215-2806
(718) 802-1110
(718) 802-1113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02605127
—
NY
Enumeration date
10/27/2006
Last updated
11/13/2013
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