Provider Demographics
NPI:1952599821
Name:MORRILL, ANN B (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:B
Last Name:MORRILL
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:185 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2121
Mailing Address - Country:US
Mailing Address - Phone:631-298-4479
Mailing Address - Fax:631-591-3047
Practice Address - Street 1:504 MONTAUK HWY STE B
Practice Address - Street 2:
Practice Address - City:CENTER MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11934-2232
Practice Address - Country:US
Practice Address - Phone:631-878-2222
Practice Address - Fax:631-878-4129
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2015-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY011665363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical