Provider Demographics
NPI:1255333811
Name:GATTANI, ANNA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:GATTANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:ROTONDI-GATTANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1050 PARK AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1031
Mailing Address - Country:US
Mailing Address - Phone:212-828-4000
Mailing Address - Fax:212-828-2333
Practice Address - Street 1:1050 PARK AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1031
Practice Address - Country:US
Practice Address - Phone:212-828-4000
Practice Address - Fax:212-828-2323
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169110-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01222004Medicaid
NY01222004Medicaid
E86096Medicare UPIN