Individual
MS. ANNE MICHELLE KUKRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1ST AVE AT 16TH STREET, BIMC PETRIE DIVISION, NEW YORK, NY 10003
(212) 420-4623
(212) 420-2912
Mailing address
325 W 108TH ST APT 4B, NEW YORK, NY 10025-2735
(212) 666-6351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004103
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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