MEDICARE: DR. ANNE FERRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	229826	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245236553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE FERRIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5070
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-5070
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 W 12TH ST
Second Line	:	COLEMAN 801
City	:	NEW YORK
State	:	NY
Zip	:	10011-8202
Country	:	US
Telephone Number	:	800-207-5737
Fax Number	:	610-401-2100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. ANNE FERRIS M.D.” Practice Location

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