Provider Demographics
NPI:1518458488
Name:ANEKE-NASH, CHINO SOCHIMA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CHINO
Middle Name:SOCHIMA
Last Name:ANEKE-NASH
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:CHINO
Other - Middle Name:SOCHIMA
Other - Last Name:ANEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:166 BRAYTON ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3142
Mailing Address - Country:US
Mailing Address - Phone:718-730-3610
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
NY325529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine