Provider Demographics
NPI:1699853622
Name:SARAIYA, ANKUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANKUR
Middle Name:
Last Name:SARAIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 70TH ST
Mailing Address - Street 2:SUITE 14B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4323
Mailing Address - Country:US
Mailing Address - Phone:212-721-6823
Mailing Address - Fax:
Practice Address - Street 1:200 W 70TH ST
Practice Address - Street 2:SUITE 14B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4323
Practice Address - Country:US
Practice Address - Phone:212-721-6823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2181812084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry