Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 25MA09757900 | NJ |
NPI | 1043515471 |
---|---|
Provider Name | Dr. Anastasia Maria Eswar |
First Address | East Meadow, NY 11554-2265 |
Second Address | East Meadow, NY 11554-2265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2011 |
Last Update Date | 29/03/2021 |