Provider Demographics
NPI:1285733014
Name:SINHA, ANIMESH AMART (MD)
Entity type:Individual
Prefix:DR
First Name:ANIMESH
Middle Name:AMART
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 95000-2442
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2442
Mailing Address - Country:US
Mailing Address - Phone:212-844-8800
Mailing Address - Fax:212-844-8800
Practice Address - Street 1:8207 MAIN ST
Practice Address - Street 2:SUITE 14
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6060
Practice Address - Country:US
Practice Address - Phone:716-204-5350
Practice Address - Fax:716-204-5355
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212009207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01873532Medicaid
MIG84181Medicare UPIN