Provider Demographics
NPI:1144299405
Name:ROONEY, ANN MARIE (MS, MPH, ANP)
Entity type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:ROONEY
Suffix:
Gender:F
Credentials:MS, MPH, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:BOX 1138
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-3385
Mailing Address - Fax:212-241-5333
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:BOX 1138
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-3385
Practice Address - Fax:212-241-5333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304067363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1524G1Medicare ID - Type Unspecified