Provider Demographics
NPI:1639152192
Name:KUCHINS, ANNE BECKERT (GNP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:BECKERT
Last Name:KUCHINS
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2405
Mailing Address - Country:US
Mailing Address - Phone:718-888-6799
Mailing Address - Fax:
Practice Address - Street 1:75 20 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11370
Practice Address - Country:US
Practice Address - Phone:917-843-3246
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340039363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY93N591Medicare ID - Type UnspecifiedPROVIDER
NYS97663Medicare UPIN