Individual
DR. ANNE HARDICK DACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 11697
(646) 421-6064
Mailing address
20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 11697-1115
(646) 421-6064
(646) 843-4701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
220931
NY
207ND0101X
MOHS-Micrographic Surgery Physician
33D2064399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02161379
—
NY
Enumeration date
11/18/2005
Last updated
01/07/2019
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