Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 250560 | NY |
NPI | 1023218872 |
---|---|
Provider Name | Payal R Anand |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-3465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 02/12/2019 |