Individual
ANN MARIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1349 LEXINGTON AVE APT 1EC, NEW YORK, NY 10128-1514
(917) 733-4740
Mailing address
1349 LEXINGTON AVE APT 1EC, NEW YORK, NY 10128-1514
(917) 733-4740
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
316111
NY
Other
Enumeration date
03/20/2019
Last updated
01/09/2025
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