MEDICARE: MS. ANNE M DUNNE RN

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	163WX0106X	Occupational Health Registered Nurse	369063	NY

General Provider Information

NPI Number	:	1407161755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE M DUNNE RN

Provider Business Mailing Address
First Line	:	131 AWIXA AVE
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8803
Country	:	US
Telephone Number	:	516-524-3771
Fax Number	:	631-969-0477

Provider Business Practice Location Address
First Line	:	61 MANORHAVEN BLVD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1627
Country	:	US
Telephone Number	:	516-883-7100
Fax Number	:	516-484-6084

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

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	08/11/2010

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