Provider Demographics
NPI:1548522741
Name:CONTY, ANNETTE (MSED)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:
Last Name:CONTY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 COMMERCE ST
Mailing Address - Street 2:APT 6
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-5735
Mailing Address - Country:US
Mailing Address - Phone:212-924-0646
Mailing Address - Fax:
Practice Address - Street 1:19 COMMERCE ST
Practice Address - Street 2:APT 6
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-5735
Practice Address - Country:US
Practice Address - Phone:212-924-0646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY858556174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist