Provider Demographics
NPI:1740300946
Name:SELLEW, ANN PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:PARKER
Last Name:SELLEW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:17 EAST 89 STREET
Mailing Address - Street 2:STE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0615
Mailing Address - Country:US
Mailing Address - Phone:212-828-3170
Mailing Address - Fax:212-828-3170
Practice Address - Street 1:17 E 89TH ST
Practice Address - Street 2:STE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0615
Practice Address - Country:US
Practice Address - Phone:212-828-3170
Practice Address - Fax:212-828-3170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1568602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY81D862Medicare ID - Type Unspecified