Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA10724800 | NJ |
NPI | 1053729129 |
---|---|
Provider Name | Dr. Niloofar Anooshiravani |
First Address | New York, NY 10025-1716 |
Second Address | New York, NY 10019-1147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2014 |
Last Update Date | 04/03/2020 |