Provider Demographics
NPI:1780055392
Name:ROY, ANNA J (NP, MPH)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:J
Last Name:ROY
Suffix:
Gender:F
Credentials:NP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 51ST AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3910
Mailing Address - Country:US
Mailing Address - Phone:917-398-2588
Mailing Address - Fax:
Practice Address - Street 1:8710 52ND AVE # 1R
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3938
Practice Address - Country:US
Practice Address - Phone:929-326-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY696300-01163W00000X
NYF352831-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse