Provider Demographics
NPI:1346576683
Name:PLUNDO, ANNA S (PA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:S
Last Name:PLUNDO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:BOX 124
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-5154
Mailing Address - Fax:212-717-3624
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:BOX 124
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5154
Practice Address - Fax:212-717-3624
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2015-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23013671363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant