Healthcare Provider Details

I. General information

NPI: 1740052760
Provider Name (Legal Business Name): ANIS HAMID MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 E 68TH ST RM 617A
NEW YORK NY
10065-5606
US

IV. Provider business mailing address

353 E 68TH ST RM 617A
NEW YORK NY
10065-5606
US

V. Phone/Fax

Practice location:
  • Phone: 917-734-5724
  • Fax:
Mailing address:
  • Phone: 917-734-5724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number323451-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: