Provider Demographics
NPI:1649538737
Name:SPARROW, ANNEMARIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANNEMARIE
Middle Name:
Last Name:SPARROW
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E 102ND ST
Mailing Address - Street 2:D3-131
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5204
Mailing Address - Country:US
Mailing Address - Phone:212-824-7030
Mailing Address - Fax:212-996-0407
Practice Address - Street 1:17 E 102ND ST
Practice Address - Street 2:ROOM D3-131
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5204
Practice Address - Country:US
Practice Address - Phone:212-824-7030
Practice Address - Fax:212-996-0407
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics