Doctor Name: | MS. ANNETTE MARIE KING |
NPI Number: | 1093834871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F304123-1 |
Business Practice Address: | 5 East 98th St 3rd Floor Ny, NY - 100296574 |
Business Phone Number: | 2122419454 |
Business Fax Number: | 2122415107 |
Mailing Address: | 1 Gustave L. Levy Place, Box 1030 NY |
State: | NY |
Postal Code: | 100296574 |
Phone Number: | 2122419454 |
Fax Number: | 2122415107 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F304123-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |