Provider Demographics
NPI:1205186301
Name:ESTEP, ANNA-MARISSA
Entity Type:Individual
Prefix:
First Name:ANNA-MARISSA
Middle Name:
Last Name:ESTEP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 CASTLE HIGH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6789
Mailing Address - Country:US
Mailing Address - Phone:845-355-2527
Mailing Address - Fax:
Practice Address - Street 1:122 CASTLE HIGH RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6789
Practice Address - Country:US
Practice Address - Phone:845-355-2527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-16
Last Update Date:2012-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator