Basic Information
| Provider Information | |||||||||
| NPI: | 1518458488 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANEKE-NASH | ||||||||
| FirstName: | CHINO | ||||||||
| MiddleName: | SOCHIMA | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD, PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ANEKE | ||||||||
| OtherFirstName: | CHINO | ||||||||
| OtherMiddleName: | SOCHIMA | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4251 HUNTER ST APT 5B | ||||||||
| Address2: | |||||||||
| City: | LONG ISLAND CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 111014111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187303610 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 550 1ST AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100166402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122635506 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2018 | ||||||||
| LastUpdateDate: | 05/25/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | NY | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.