Healthcare Provider Details

I. General information

NPI: 1891358727
Provider Name (Legal Business Name): ANISH DANI THOMAS MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CROSFIELD AVE STE 318
WEST NYACK NY
10994-2220
US

IV. Provider business mailing address

2 CROSFIELD AVE STE 318
WEST NYACK NY
10994-2220
US

V. Phone/Fax

Practice location:
  • Phone: 845-353-5600
  • Fax:
Mailing address:
  • Phone: 845-353-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number317835
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number317835
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: