Individual
MS. ANN VISSER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4047
(631) 444-4686
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4686
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02440637
—
NY
01
—
7895532
AETNA
NY
01
—
M9M581
EMPIRE BC.BS
NY
Enumeration date
06/13/2006
Last updated
07/08/2007
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