Provider Demographics
NPI:1942407887
Name:YUSIM, ANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:YUSIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:35 E 85TH ST
Mailing Address - Street 2:SUITE 3N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0954
Mailing Address - Country:US
Mailing Address - Phone:917-727-9437
Mailing Address - Fax:917-210-3376
Practice Address - Street 1:35 E. 85TH STREET
Practice Address - Street 2:SUITE 3N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:917-727-9437
Practice Address - Fax:917-210-3376
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2487262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry