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NPI Code Detail

MEDICARE: DR. ANITA M AISNER M.D.

MEDICARE: DR. ANITA M AISNER 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician170417NY

General Provider Information

NPI Number : 1891900460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANITA M AISNER M.D.
Provider Business Mailing Address
First Line : 211 RIVERVIEW DRIVE
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601
Country : US
Telephone Number : 845-452-2772
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75244-5071
Country : US
Telephone Number : 469-466-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 10/08/2018

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