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NPI Code Detail

MEDICARE: MICHELLE ANANDER

MEDICARE: MICHELLE ANANDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistNY

General Provider Information

NPI Number : 1194397166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANANDER
Provider Business Mailing Address
First Line : 3754 WINDSOR DR
Second Line :
City : BETHPAGE
State : NY
Zip : 11714-5413
Country : US
Telephone Number : 516-260-1210
Fax Number :
Provider Business Practice Location Address
First Line : 99 CENTRAL AVE
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-3537
Country : US
Telephone Number : 516-317-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2021
Last Update Date : 07/10/2021

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Directions to “ MICHELLE ANANDER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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