Individual
ANNA PAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(646) 317-5077
(212) 305-8112
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(646) 317-5077
(212) 305-8112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
703543-1
NY
363LF0000X
Family Nurse Practitioner
Primary
341518
NY
Other
Enumeration date
07/17/2016
Last updated
07/21/2022
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