MEDICARE: ANAM TANVEIR

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	183500000X	Pharmacist	059932	NY

General Provider Information

NPI Number	:	1871990366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAM TANVEIR

Provider Business Mailing Address
First Line	:	8058 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 ALBANY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2156
Country	:	US
Telephone Number	:	718-756-6061
Fax Number	:

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

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	11/26/2014

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Directions to “ ANAM TANVEIR ” Practice Location

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