Healthcare Provider Details

I. General information

NPI: 1164358503
Provider Name (Legal Business Name): ANVIRI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 E 73RD ST FL 2
BROOKLYN NY
11234-5942
US

IV. Provider business mailing address

1457 E 73RD ST FL 2
BROOKLYN NY
11234-5942
US

V. Phone/Fax

Practice location:
  • Phone: 718-415-0775
  • Fax: 718-415-0775
Mailing address:
  • Phone: 718-415-0775
  • Fax: 718-415-0775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: EMILIA POVERIN
Title or Position: SOCIAL WORKER
Credential: LCSW
Phone: 718-415-0775