MEDICARE: MISS ANNE T LAI NP

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	363LA2200X	Adult Health Nurse Practitioner	304541	NY
2	363LG0600X	Gerontology Nurse Practitioner	340655	NY

General Provider Information

NPI Number	:	1902095649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANNE T LAI NP

Provider Business Mailing Address
First Line	:	ONE GUSTAVE L LEVY PLACE
Second Line	:	BOX 3000
City	:	NEW YORK
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-241-4987
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE GUSTAVE LEVY PLACE
Second Line	:	DEPARTMENT OF ENDOCRIONOLOGY
City	:	NEW YORK CITY
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-241-0109
Fax Number	:

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

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	03/04/2008

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