Provider Demographics
NPI:1891755708
Name:ANAIN, SHIRLEY A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:A
Last Name:ANAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 HARLEM RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2500
Mailing Address - Country:US
Mailing Address - Phone:716-838-1333
Mailing Address - Fax:716-835-5595
Practice Address - Street 1:4949 HARLEM RD
Practice Address - Street 2:SUITE 302
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-2500
Practice Address - Country:US
Practice Address - Phone:716-838-1333
Practice Address - Fax:716-835-5595
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187404174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000511535001OtherBC/BS OF WNY
NY240002898OtherRAILROAD MEDICARE
NY1308585OtherINDEPENDENT HEALTH
NY00010003601OtherUNIVERA
NY01382636Medicaid
NY700106OtherGROUP HEALTH INSURANCE
000511535001OtherBC/BS OF WNY
NY296851Medicare ID - Type Unspecified
NY1308585OtherINDEPENDENT HEALTH