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General NPI Number Information
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NPI Number | 1508790650
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Entity Type | Organization
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Legal Business Name | ANAHID J. NISANIAN MD PLLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 4330 48TH ST
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City | SUNNYSIDE
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State | NY
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Zip | 11104-1648
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Country | US
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Telephone | 718-706-7658
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Fax | 718-706-1200
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Provider Business Mailing Address
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Address Line | 18 AVON RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-2003
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Country | US
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Telephone | 917-873-5894
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | DR. ANAHID J NISANIAN
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Credential | MD
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Telephone | 917-873-5894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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