Individual
ANN M DNISTIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6735
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
DNISA1
NY
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
DNISA1
NY
Other
Enumeration date
01/26/2009
Last updated
07/31/2013
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