Provider Demographics
NPI:1669637849
Name:PANJWANI, ARTI (DO)
Entity Type:Individual
Prefix:DR
First Name:ARTI
Middle Name:
Last Name:PANJWANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ARTI
Other - Middle Name:
Other - Last Name:ANAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:55 BRYANT AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1139
Mailing Address - Country:US
Mailing Address - Phone:516-464-6049
Mailing Address - Fax:
Practice Address - Street 1:55 BRYANT AVE FL 2
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1139
Practice Address - Country:US
Practice Address - Phone:516-464-6049
Practice Address - Fax:516-548-5277
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254733208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation