Individual
DR. ANN MAURINE PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
532 E 87TH ST, NEW YORK, NY 10128-7602
(212) 717-0896
(212) 746-7323
Mailing address
532 E 87TH ST, NEW YORK, NY 10128-7602
(212) 717-0896
(212) 746-7323
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
201035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201035
MEDICAL LICENSE
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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