Provider Demographics
NPI:1659636645
Name:LAMSIFER, ANNY C (MA ED)
Entity Type:Individual
Prefix:MS
First Name:ANNY
Middle Name:C
Last Name:LAMSIFER
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3327
Mailing Address - Country:US
Mailing Address - Phone:516-569-3430
Mailing Address - Fax:
Practice Address - Street 1:43 WILSON RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3327
Practice Address - Country:US
Practice Address - Phone:516-569-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY505156041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist