Healthcare Provider Details

I. General information

NPI: 1518013879
Provider Name (Legal Business Name): SAROJA ANAND M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15011 HILLSIDE AVE
JAMAICA NY
11432-3319
US

IV. Provider business mailing address

2 CARRIAGE LN
ROSLYN HEIGHTS NY
11577-2616
US

V. Phone/Fax

Practice location:
  • Phone: 718-739-5778
  • Fax: 718-523-2728
Mailing address:
  • Phone: 516-484-1021
  • Fax: 718-823-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number170106
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: