Provider Demographics
NPI:1104948009
Name:STUDER, ANN M (DC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:STUDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1141
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-8141
Mailing Address - Country:US
Mailing Address - Phone:845-986-8868
Mailing Address - Fax:
Practice Address - Street 1:1136 KINGS HWY
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-3132
Practice Address - Country:US
Practice Address - Phone:845-986-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0088831111N00000X
PADC007034L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY606314OtherUS HEALTHCARE
NY606314OtherAETNA
NY606314OtherACN
NYX2B401Medicare ID - Type Unspecified
NY606314OtherAETNA