Healthcare Provider Details

I. General information

NPI: 1699853622
Provider Name (Legal Business Name): ANKUR SARAIYA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 70TH ST SUITE 14B
NEW YORK NY
10023-4323
US

IV. Provider business mailing address

200 W 70TH ST SUITE 14B
NEW YORK NY
10023-4323
US

V. Phone/Fax

Practice location:
  • Phone: 212-721-6823
  • Fax:
Mailing address:
  • Phone: 212-721-6823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number218181
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number218181
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: