Healthcare Provider Details

I. General information

NPI: 1023750577
Provider Name (Legal Business Name): FATIMA ANWER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date: 01/06/2023
Reactivation Date: 01/12/2023

III. Provider practice location address

506 LENNOX AVENUE HARLEM HOSPITAL CTR-NY INTERNAL MEDIC RM: 13-106-MLK
NEW YORK CITY NY
10037
US

IV. Provider business mailing address

506 LENOX AVE RM 13106MLK
NEW YORK NY
10037-1802
US

V. Phone/Fax

Practice location:
  • Phone: 212-939-1406
  • Fax: 212-939-1462
Mailing address:
  • Phone: 212-939-1406
  • Fax: 212-939-1462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number338028
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: