Provider Demographics
NPI:1790771459
Name:LANCELLOTTI, ANNE M (MHS PT DCS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:LANCELLOTTI
Suffix:
Gender:F
Credentials:MHS PT DCS
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Mailing Address - Street 1:201 SOUTH AVE
Mailing Address - Street 2:STE 501
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4812
Mailing Address - Country:US
Mailing Address - Phone:845-473-5668
Mailing Address - Fax:845-473-6048
Practice Address - Street 1:201 SOUTH AVE
Practice Address - Street 2:STE 501
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4812
Practice Address - Country:US
Practice Address - Phone:845-473-5668
Practice Address - Fax:845-473-6048
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0085421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ75841OtherEMPIRE BCBS
P449466OtherOXFORD
NY000404476001OtherHEALTH NOW NY
NY10034486OtherCDPHP
NY437111OtherMVP HEALTH CARE
NY18032OtherHEALTH SOURCE
NY000404476001OtherHEALTH NOW NY
NY18032OtherHEALTH SOURCE