Provider Demographics
NPI:1629164819
Name:SAUNDERS, ANNE V (NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:V
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:V
Other - Last Name:RIORDAN-AMMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:91 REVERE DR
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1358
Mailing Address - Country:US
Mailing Address - Phone:631-655-5281
Mailing Address - Fax:516-887-0030
Practice Address - Street 1:2146 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2606
Practice Address - Country:US
Practice Address - Phone:516-221-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400017363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26-2952640OtherIRS TAX ID
NY2E6932Medicare ID - Type Unspecified
NY26-2952640OtherIRS TAX ID