Healthcare Provider Details

I. General information

NPI: 1447530555
Provider Name (Legal Business Name): PARIDHI ANAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 05/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE DEPARTMENT OF PEDIATRICS
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

104 BEACH 62ND ST SECOND FLOOR
ARVERNE NY
11692-1847
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-4105
  • Fax:
Mailing address:
  • Phone: 347-272-3361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270002
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: