Provider Demographics
NPI:1215010624
Name:NAFZIGER, ANNE NOEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:NOEL
Last Name:NAFZIGER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 CENTRAL AVENUE
Mailing Address - Street 2:STE 201
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4773
Mailing Address - Country:US
Mailing Address - Phone:518-389-1300
Mailing Address - Fax:716-214-4460
Practice Address - Street 1:1762 CENTRAL AVENUE
Practice Address - Street 2:STE 201
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4773
Practice Address - Country:US
Practice Address - Phone:518-389-1300
Practice Address - Fax:716-214-4460
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164871207RA0401X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY70816TMedicare ID - Type Unspecified
NYF05271Medicare UPIN