DR. DMITRY BORISOVICH ANISKIN MD NPI 1063660017

NPI Information

NPI: 1063660017
Provider Name: DR. DMITRY BORISOVICH ANISKIN, MD
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

PECOS Registration: Yes

Address:
104 EMERSON PL
1
BROOKLYN, NY
ZIP 11205
Phone: (646) 379-8047
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DR. Dmitry Borisovich Aniskin, MD is an addiction psychiatry psychiatry neurology in Brooklyn, NY with 32 years of experience. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Dmitry Borisovich Aniskin, MD NPI is 1063660017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 EMERSON PL
1
BROOKLYN, NY
ZIP 11205-604
Phone: (646) 379-8047
Fax: (212) 420-2181

The NPI 1063660017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 7/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	259966	NEW YORK	No
2	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	259966	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A400068689	MEDICARE PIN	NEW YORK
2	03063247	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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