Provider Demographics
NPI:1730452517
Name:KALAYJIAN, ANI (EDD, DDL, RN-BC, BCE)
Entity type:Individual
Prefix:DR
First Name:ANI
Middle Name:
Last Name:KALAYJIAN
Suffix:
Gender:F
Credentials:EDD, DDL, RN-BC, BCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1003
Mailing Address - Country:US
Mailing Address - Phone:201-941-2266
Mailing Address - Fax:
Practice Address - Street 1:185 E 85TH ST
Practice Address - Street 2:MEZZ #4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2140
Practice Address - Country:US
Practice Address - Phone:201-723-9578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0189564163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health