MEDICARE: MRS. ANASTASIIA VASILEVA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215873864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANASTASIIA VASILEVA M.D.

Provider Business Mailing Address
First Line	:	2101 QUARRY RD, BRONX
Second Line	:	MEDICAL EDUCATION MILLS BUILDING, 3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10457
Country	:	US
Telephone Number	:	718-960-6202
Fax Number	:	718-960-3218

Provider Business Practice Location Address
First Line	:	2101 QUARRY RD, BRONX
Second Line	:	MEDICAL EDUCATION MILLS BUILDING, 3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10457
Country	:	US
Telephone Number	:	718-960-6202
Fax Number	:	718-960-3218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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