Healthcare Provider Details

I. General information

NPI: 1750501011
Provider Name (Legal Business Name): VIJAY K. ANAND PHYSICIAN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

772 PARK AVE
NEW YORK NY
10021-4153
US

IV. Provider business mailing address

772 PARK AVENUE
NEW YORK NY
10021-4153
US

V. Phone/Fax

Practice location:
  • Phone: 212-452-3005
  • Fax: 212-452-3660
Mailing address:
  • Phone: 212-452-3005
  • Fax: 212-452-3660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number145350
License Number StateNY

VIII. Authorized Official

Name: DR. VIJAY K ANAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 212-452-3005