Provider Demographics
NPI:1457537797
Name:MEI, ANNIE (NP)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:MEI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SOLAR LANE
Mailing Address - Street 2:
Mailing Address - City:SEARINGTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11507
Mailing Address - Country:US
Mailing Address - Phone:917-626-8726
Mailing Address - Fax:
Practice Address - Street 1:28 SOLAR LANE
Practice Address - Street 2:
Practice Address - City:SEARINGTOWN
Practice Address - State:NY
Practice Address - Zip Code:11507
Practice Address - Country:US
Practice Address - Phone:917-626-8726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY524672163W00000X
NY340731-1363LG0600X
NY305030363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology