Provider Demographics
NPI:1861488199
Name:ALBERTO, ANNE M (CNNP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:ALBERTO
Suffix:
Gender:F
Credentials:CNNP
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:MCCUTCHEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNNP
Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 611
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:516-663-2532
Mailing Address - Fax:516-663-8874
Practice Address - Street 1:259 1ST ST
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3957
Practice Address - Country:US
Practice Address - Phone:516-663-3853
Practice Address - Fax:516-663-8955
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350185363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal