Provider Demographics
NPI:1972700938
Name:DRAGO, ANNMARIE FRANCES (RN,LPN)
Entity Type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:FRANCES
Last Name:DRAGO
Suffix:
Gender:F
Credentials:RN,LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-1823
Mailing Address - Country:US
Mailing Address - Phone:631-650-5587
Mailing Address - Fax:
Practice Address - Street 1:153 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-1823
Practice Address - Country:US
Practice Address - Phone:631-650-5587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY571296-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02210873Medicare UPIN