Provider Demographics
NPI:1255417150
Name:STILWELL, ANNE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:STILWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140057
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-0057
Mailing Address - Country:US
Mailing Address - Phone:718-448-6373
Mailing Address - Fax:718-448-6648
Practice Address - Street 1:45 MCCLEAN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-4634
Practice Address - Country:US
Practice Address - Phone:718-448-6373
Practice Address - Fax:718-448-6648
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186024208VP0014X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133889225OtherMULTIPLAN
NY133889225OtherUNITED HEALTHCARE
NY133889225OtherCIGNA
NY133889225Other1199
NY186024OtherHIP
NY050052299OtherRAILROAD MEDICARE
NY65J532OtherEMPIRE BLUE CROSS/SHIELD
NY133889225OtherHEALTHPLUS
NY133889225OtherMAGNACARE
NY133889225OtherQUALCARE
NY169990OtherELDERPLAN
NY5301821OtherGHI
NY4C1349OtherPHS
NYP428465OtherOXFORD
NY60303515OtherFIDELIS