Provider Demographics
NPI:1871830224
Name:KELEMAN, ANNE (MS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KELEMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1825
Mailing Address - Country:US
Mailing Address - Phone:516-791-7328
Mailing Address - Fax:
Practice Address - Street 1:88 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1825
Practice Address - Country:US
Practice Address - Phone:516-791-7328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY736922971174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist