Provider Demographics
NPI:1679882872
Name:ZIEGLER, ANNE ETHEL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ETHEL
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13969 73RD TER
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2305
Mailing Address - Country:US
Mailing Address - Phone:718-261-0178
Mailing Address - Fax:
Practice Address - Street 1:18616 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1734
Practice Address - Country:US
Practice Address - Phone:718-264-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037175-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist