Individual
ANA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 PANTIGO PL STE F, EAST HAMPTON, NY 11937-5922
(631) 329-9300
Mailing address
200 PANTIGO PL STE F, EAST HAMPTON, NY 11937-5922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
PA16181
TX
363AM0700X
Medical Physician Assistant
Primary
031766
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTHCARE
TX
Enumeration date
09/16/2020
Last updated
05/19/2024
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