| Doctor Name: | ANIL MISTRY |
| NPI Number: | 1053648089 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 140290 |
| Business Practice Address: | 295 Flatbush Ave. Extension 2nd. Floor Brooklyn, NY - 11201 |
| Business Phone Number: | 7186438352 |
| Business Fax Number: | 7186435024 |
| Mailing Address: | 295 Flatbush Ave. Extension, 2nd Floor Nyc Dept. Of Health BROOKLYN |
| State: | NY |
| Postal Code: | 11201 |
| Phone Number: | 7186438351 |
| Fax Number: | 7186435024 |
| NPI Enumeration Date: | 11/12/2009 |
| NPI Last Update Date: | 11/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 140290 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |