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Contact Information

KISRA ANIS
1400 PELHAM PKWY S
BRONX, NY10461-1138
 Phone: 718-918-3060
 Fax: 718-918-4469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KISRA ANIS · (Female)

NPI # 1518097146
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 207404
  • NY Medicaid 02210451
Hospital affiliation(s)
  • JACOBI MEDICAL CENTER - (Acute Care)
    1400 PELHAM PARKWAY SOUTH
    BRONX, NY 10461
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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