Provider Demographics
NPI:1336437540
Name:SAKHICHAND, ANJANIE R (PA)
Entity Type:Individual
Prefix:
First Name:ANJANIE
Middle Name:R
Last Name:SAKHICHAND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1890 PALMER AVE
Mailing Address - Street 2:STE 304
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3031
Mailing Address - Country:US
Mailing Address - Phone:914-834-9606
Mailing Address - Fax:914-834-0648
Practice Address - Street 1:8791 257TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1415
Practice Address - Country:US
Practice Address - Phone:917-721-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009494363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant