Provider Demographics
NPI:1811254428
Name:ANAND, ERICA RAVIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:RAVIN
Last Name:ANAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2785 GENESSEE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2424
Mailing Address - Country:US
Mailing Address - Phone:631-721-3938
Mailing Address - Fax:
Practice Address - Street 1:819 AVALON COURT DR
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4282
Practice Address - Country:US
Practice Address - Phone:631-721-3938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0574471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry