Aniskin, Dmitry Borisovich

Aniskin, Dmitry Borisovich is an individual health care provider with primary practice located at 104 Emerson Pl 1, Brooklyn NY 11205-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Aniskin, Dmitry Borisovich can be contacted via phone (646) 379-8047.

Contact Information

Primary practice address
104 Emerson Pl 1 Brooklyn NY 11205-2604
Phone: (646) 379-8047
Fax: (212) 420-2181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 259966 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 259966 New York

Profile Details

NPI number 1063660017
LBN Legal business name Aniskin, Dmitry Borisovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Jul 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063660017 NPPES
New York MEDICAID 03063247

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