Provider Demographics
NPI:1093044703
Name:RHEUMATOLOGY & ARTHRITIS SPECIALIST PLLC
Entity Type:Organization
Organization Name:RHEUMATOLOGY & ARTHRITIS SPECIALIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PRACHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-318-5746
Mailing Address - Street 1:288B HALF HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5865
Mailing Address - Country:US
Mailing Address - Phone:631-393-6510
Mailing Address - Fax:631-393-6511
Practice Address - Street 1:340 BROADHOLLOW RD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4807
Practice Address - Country:US
Practice Address - Phone:631-393-6510
Practice Address - Fax:631-393-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203414-1207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty