Provider Demographics
NPI:1215754411
Name:KERR- CALNICK, ANN MARIE
Entity type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:
Last Name:KERR- CALNICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 E 87TH ST # FF
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5136
Mailing Address - Country:US
Mailing Address - Phone:347-283-0803
Mailing Address - Fax:
Practice Address - Street 1:1332 E 87TH ST # FF
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5136
Practice Address - Country:US
Practice Address - Phone:347-283-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst