Provider Demographics
NPI:1376761809
Name:SHULMAN, ANITA FRANCES (ANITA SHULMAN)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:FRANCES
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:ANITA SHULMAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:25 TUDOR CITY PL APT 315
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6821
Mailing Address - Country:US
Mailing Address - Phone:212-682-9513
Mailing Address - Fax:212-682-6228
Practice Address - Street 1:25 TUDOR CITY PL APT 315
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6821
Practice Address - Country:US
Practice Address - Phone:212-682-9513
Practice Address - Fax:212-682-6228
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148484207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice