MEDICARE: ANNA KARENA STRATIS M.D.

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
1	208D00000X	General Practice Physician	287694	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356874853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA KARENA STRATIS M.D.

Provider Business Mailing Address
First Line	:	3198 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-1000
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:	718-795-4394

Provider Business Practice Location Address
First Line	:	140 HAMMOND ST
Second Line	:
City	:	PORT JERVIS
State	:	NY
Zip	:	12771-2607
Country	:	US
Telephone Number	:	845-563-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	06/05/2019

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