Healthcare Provider Details

I. General information

NPI: 1922847185
Provider Name (Legal Business Name): ANNE KATHERINE CUYUGAN PAMINTUAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 12/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 LENOX AVENUE HARLEM HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS MLK 17
NEW YORK NY
10037
US

IV. Provider business mailing address

506 LENOX AVENUE HARLEM HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS MLK 17
NEW YORK NY
10037
US

V. Phone/Fax

Practice location:
  • Phone: 212-939-4019
  • Fax:
Mailing address:
  • Phone: 212-939-4019
  • Fax: 212-939-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: