Provider Demographics
NPI:1073556841
Name:OSTROVSKAYA, ANNA (M D)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:OSTROVSKAYA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CHURCH ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-1804
Mailing Address - Country:US
Mailing Address - Phone:203-634-2365
Mailing Address - Fax:203-432-7289
Practice Address - Street 1:234 CHURCH ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1804
Practice Address - Country:US
Practice Address - Phone:203-634-2365
Practice Address - Fax:203-432-7289
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0435842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB09320160OtherDEA REGISTRATION