Provider Demographics
NPI:1295993426
Name:ULIASZ, ANNEMARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNEMARIE
Middle Name:
Last Name:ULIASZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SPRING STREET
Mailing Address - Street 2:SUITE 601
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012
Mailing Address - Country:US
Mailing Address - Phone:212-431-4749
Mailing Address - Fax:
Practice Address - Street 1:73 SPRING ST
Practice Address - Street 2:SUITE 601
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5800
Practice Address - Country:US
Practice Address - Phone:212-431-4749
Practice Address - Fax:917-210-4316
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237805207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology