Anita Alaverdyan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI 1174375679 · NPPES record last updated May 11, 2025

Key facts

NPI
1174375679
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1400 Pelham Pkwy S RM 6S11
Bronx, NY 10461-1197
Phone
(718) 918-5000
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1400 Pelham Pkwy S RM 6S11
Bronx, NY 10461-1197

Mailing address

1400 Pelham Pkwy S RM 6S11
Bronx, NY 10461-1197
Phone (718) 918-5000

Other providers in Bronx, NY

All providers in Bronx, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.