Provider Demographics
NPI:1902242928
Name:MCCLOSKEY, ANNA BARONOVA (MS CF-TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:BARONOVA
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:MS CF-TSSLD
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:BARONOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:385 NEWRY LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12083-4009
Mailing Address - Country:US
Mailing Address - Phone:646-752-2227
Mailing Address - Fax:
Practice Address - Street 1:268 W SAUGERTIES RD
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-3142
Practice Address - Country:US
Practice Address - Phone:845-247-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program