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General NPI Number Information
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NPI Number | 1023273828
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Entity Type | Individual
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Provider Name | ANUSHA ROSANNE FERNANDO MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 75 WALL ST APT 30C
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City | NEW YORK
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State | NY
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Zip | 10005-3161
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Country | US
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Telephone | 914-450-6728
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 249574
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | FF0964848
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License Number State | NY
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