Individual ProviderAnahita Bassir NiaPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address425 George St, New Haven, CT 06511(212) 420-2390(203) 688-3182PECOS EnrollmentBased on the most recent information from CMS, provider Anahita Bassir Nia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861743403Provider TypeIndividualFull NameBassir Nia, AnahitaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date9/22/2012Last Updated7/10/2018Contact InformationPractice LocationPractice Address425 George St, New Haven, CT 06511Phone(212) 420-2390FaxUnlisted FaxMailing LocationMailing Address425 George St, New Haven, CT 06511-5410Phone(203) 688-3182FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense60800ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID004217099DescriptionMedicaidIssuerUnlistedConnecticutID004041000DescriptionMedicaidIssuerUnlistedConnecticutID008003745DescriptionMedicaidIssuerUnlistedConnecticut