Healthcare Provider Details

I. General information

NPI: 1124390158
Provider Name (Legal Business Name): ANN M. MEANS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 OLD ORCHARD ST
WHITE PLAINS NY
10604-1049
US

IV. Provider business mailing address

139 WOOD ST
MAHOPAC NY
10541-5011
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-7271
  • Fax:
Mailing address:
  • Phone: 914-761-7019
  • Fax: 914-761-8806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number22470306
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: