Healthcare Provider Details
I. General information
NPI: 1861302739
Provider Name (Legal Business Name): ANEKQUA TOYLOY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8802 ROCKAWAY BEACH BLVD # 11693
ROCKAWAY BEACH NY
11693-1609
US
IV. Provider business mailing address
40 W COLUMBIA ST APT 324
HEMPSTEAD NY
11550-2402
US
V. Phone/Fax
- Phone: 718-845-2621
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: