| Doctor Name: | MRS. ANNE LANE SALICE |
| NPI Number: | 1417115056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F350016 |
| Business Practice Address: | 2120 Crown Land Ln Cutchogue, NY - 119351211 |
| Business Phone Number: | 6317345734 |
| Business Fax Number: | |
| Mailing Address: | 2120 Crown Land Ln, CUTCHOGUE |
| State: | NY |
| Postal Code: | 119351211 |
| Phone Number: | 6317345734 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2008 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | F350016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |