KISRA ANIS

WATERS PLACE MEDICAL GROUP PC

Dr KISRA ANIS is a female medical professional, specializing in Nephrology. She graduated in 1991.

Contact

WATERS PLACE MEDICAL GROUP PC

1400 PELHAM S PKWY
5A
BRONX
NY
104611119

Tel: 7184091909

KISRA ANIS Information

Npi 1518097146
Pac Id 3375702632
Professional Enrollment Id I20120307000124
Last Name ANIS
First Name KISRA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty NEPHROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WATERS PLACE MEDICAL GROUP PC
Group Practice Pac Id 0042443376
Number Of Group Practice Members 5
Line 1 Street Address 1400 PELHAM S PKWY
Line 2 Street Address 5A
Marker Of Address Line 2 Suppression
City BRONX
State NY
Zip Code 104611119
Phone Number 7184091909
Hospital Affiliation Ccn 1 330127
Hospital Affiliation Lbn 1 JACOBI MEDICAL CENTER
Hospital Affiliation Ccn 2 330385
Hospital Affiliation Lbn 2 NORTH CENTRAL BRONX HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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