Healthcare Provider Details

I. General information

NPI: 1821243163
Provider Name (Legal Business Name): ANKUR ANAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 01/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PORT WASHINGTON BLVD
ROSLYN NY
11576-1347
US

IV. Provider business mailing address

100 PORT WASHINGTON BLVD NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.
ROSLYN NY
11576-1347
US

V. Phone/Fax

Practice location:
  • Phone: 516-627-6624
  • Fax:
Mailing address:
  • Phone: 516-627-6624
  • Fax: 516-627-3804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number267104
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number267104
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: